Individual
CARLA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10770 N 46TH ST, TAMPA, FL 33617-3442
(813) 903-3611
(813) 631-3181
Mailing address
10770 N 46TH ST, TAMPA, FL 33617-3442
(813) 903-3611
(813) 631-3181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3073902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230601800
—
FL
Enumeration date
12/06/2012
Last updated
05/06/2024
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