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Individual

ELENA S BENSONOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH., CPH

Contact information

Practice address
4330 S MANHATTAN AVE, TAMPA, FL 33611-1304
(813) 839-8861
Mailing address
4330 SOUTH MANHATTAN AVENUE, TAMPA, FL 33611
(813) 839-8861

Taxonomy

Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
PS33868
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS33868
FL

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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