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Individual

BENJAMIN CLINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
2918 W BAY VISTA AVE APT 4, TAMPA, FL 33611-1658
(703) 403-4183

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001281520
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
11037059
FL

Other

Enumeration date
02/28/2023
Last updated
04/03/2025
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