Individual
BENJAMIN LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4570 25TH AVE S, ST PETERSBURG, FL 33711-3318
(607) 624-4433
Mailing address
4570 25TH AVE S, ST PETERSBURG, FL 33711-3318
(607) 624-4433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9394337
FL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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