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Individual

SANDRA E BENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2900 W PROSPECT RD, FORT LAUDERDALE, FL 33309-2519
(954) 731-1000
(954) 497-3857
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3137982
FL
364S00000X
Clinical Nurse Specialist
ARNP3137982
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3025020100
FL
Enumeration date
03/07/2006
Last updated
10/11/2017
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