Individual
MR. STANLEY BENITO PARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
25430 SW 16TH AVE, NEWBERRY, FL 32669-4907
(352) 472-6633
Mailing address
25430 SW 16TH AVE, NEWBERRY, FL 32669-4907
(352) 472-6633
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
RT4905
FL
2279G1100X
General Care Registered Respiratory Therapist
Primary
RT4905
FL
Other
Enumeration date
07/17/2006
Last updated
09/11/2025
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