Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARSHA BENNIE
Active
Individual
MARSHA BENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305359
AMERIGROUP PROVIDER #
FL
05
—
887435200
—
FL
01
—
Y089C
BCBS PROVIDER #
FL
Enumeration date
05/23/2006
Last updated
04/28/2008
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