Individual
BENNIE QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5449 S SEMORAN BLVD, ORLANDO, FL 32822-1722
(407) 986-3725
Mailing address
5449 S SEMORAN BLVD, ORLANDO, FL 32822-1722
(407) 986-4725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11027681
FL
Other
Enumeration date
09/12/2023
Last updated
05/01/2025
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