Individual
MARISOL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
22570 SW 89TH PL, CUTLER BAY, FL 33190-1332
(786) 797-8244
(786) 701-3146
Mailing address
22570 SW 89TH PL, CUTLER BAY, FL 33190-1332
(786) 797-8244
(786) 701-3146
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11003318
FL
363LC1500X
Community Health Nurse Practitioner
11003318
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11003318
FL
363LP2300X
Primary Care Nurse Practitioner
11003318
FL
Other
Enumeration date
07/26/2019
Last updated
11/26/2024
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