Individual
DR. CASEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
4202 E FOWLER AVE, TAMPA, FL 33620-8000
(910) 920-5449
Mailing address
4202 E FOWLER AVE, TAMPA, FL 33620-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11412061
FL
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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