# INTEGRA LONGEVITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972423770
- **Authorized official:** PATRICK BENGSTON NP (OWNER)
- **Authorized official phone:** (727) 214-4622

## Contact information

- **Practice address:** 3901 66TH ST N STE 101, SAINT PETERSBURG, FL 33709-4949
- **Practice address phone:** (727) 214-4622
- **Mailing address:** 3901 66TH ST N STE 101, SAINT PETERSBURG, FL 33709-4949
- **Mailing address phone:** (727) 214-4622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2026
- **Last updated:** 07/20/2026
