Individual
KIZZIE NIVIA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 ALUTHRA WAY APT 1532, ORLANDO, FL 32839-2325
(772) 519-3333
Mailing address
5001 ALUTHRA WAY APT 1532, ORLANDO, FL 32839-2325
(772) 519-3333
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
P19000060812
FL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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