Individual
MR. DOMINICK MICHAEL BENNESE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.B.A., ATC/L
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 752-2448
Mailing address
11025 BRISTOL BAY DR, BRADENTON, FL 34209-7943
(814) 577-1800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1848
FL
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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