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Individual

BENITA ELISE LEAVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
1110 HAMMOCK RD, SEBRING, FL 33870-6222
(863) 402-1066
Mailing address
12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL 33637-0904

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9191948
FL

Other

Enumeration date
07/24/2012
Last updated
02/05/2020
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