Individual
MARISA BENNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
92 W MILLER ST # MP318, ORLANDO, FL 32806-2032
(321) 841-8588
Mailing address
8 W KING ST, ORLANDO, FL 32804-4542
(561) 306-2075
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11018508
FL
Other
Enumeration date
05/23/2022
Last updated
07/25/2022
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