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Individual

ELISE BENDIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., C.G.C.

Contact information

Practice address
1501 NW 10TH AVE, BRB 334 (M-860), MIAMI, FL 33136-1012
(305) 243-4812
Mailing address
3242 MARY ST, S310, MIAMI, FL 33133-5294
(217) 766-8007

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
590624458
TAX ID
FL
Enumeration date
09/04/2013
Last updated
09/04/2013
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