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Individual

MS. VICTORIA DENISE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP CNM

Contact information

Practice address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418
Mailing address
1900 E BAY DR, LARGO, FL 33771-2218
(727) 216-1420
(727) 216-1418

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9204058
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9204058
FL

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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