Individual
MARK ARDEN BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1341 ARBOR VISTA LOOP, # 225, LAKE MARY, FL 32746-1683
(386) 747-0790
Mailing address
1341 ARBOR VISTA LOOP, # 225, LAKE MARY, FL 32746-1683
(386) 747-0790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1110
FL
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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