Individual
DEBORAH ANN BENEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 TAMIAMI TRL, SUITE 109, PORT CHARLOTTE, FL 33948-2180
(941) 743-5211
(941) 743-6380
Mailing address
P.O.BOX 406153, ATLANTA, GA 30384-1876
(561) 478-8770
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001298800
—
FL
Enumeration date
07/01/2008
Last updated
01/14/2010
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