Organization
SAN ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN AKTON BENWELL (OPERATIONS MANAGER)
(410) 375-9072
Entity
Organization
Contact information
Practice address
8047 45TH WAY N, WEST PALM BEACH, FL 33418-6170
(410) 475-9072
Mailing address
6742 FOREST HILL BLVD, SUITE 259, GREENACRES, FL 33413-3321
(410) 375-9072
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
10D2054584
FL
Other
Enumeration date
03/31/2013
Last updated
03/31/2013
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