Individual
MR. BENJAMIN LEE STORIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12236 ROCHFORD LN, JACKSONVILLE, FL 32225-4730
(904) 891-0076
(904) 642-7429
Mailing address
12236 ROCHFORD LN, JACKSONVILLE, FL 32225-4730
(904) 891-0076
(904) 642-7429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9226274
FL
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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