Individual
FLORDELIZA L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11701 SAN JOSE BLVD, SUITE 210, JACKSONVILLE, FL 32223-0756
(904) 858-7450
(904) 858-7451
Mailing address
11701 SAN JOSE BLVD, SUITE 210, JACKSONVILLE, FL 32223-0756
(904) 858-7450
(904) 858-7451
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
FL
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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