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Individual

MR. MUSTAPHA BENGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1932 BIG CYPRESS DR, SAINT CLOUD, FL 34771-8008
(407) 552-6917
Mailing address
1932 BIG CYPRESS DR, SAINT CLOUD, FL 34771-8008
(407) 552-6917

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11013005
FL

Other

Enumeration date
12/26/2019
Last updated
09/23/2023
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