Individual
BENITA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 S HWY A1A STE C5, MELBOURNE BEACH, FL 32951-3145
(321) 327-7889
Mailing address
2900 65TH DR UNIT 103, VERO BEACH, FL 32966-2183
(772) 643-1882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTT44280
FL
2255A2300X
Athletic Trainer
AL6146
FL
2255A2300X
Athletic Trainer
—
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
09/03/2019
Last updated
01/12/2026
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