Individual
MIRTA B. VON BENECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1699822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301424000
—
FL
Enumeration date
03/06/2006
Last updated
12/04/2012
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