Individual
STEPHEN FREDERICK BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
1232 TALBOT AVE, TALLAHASSEE, FL 32308-5242
(858) 243-2465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9597955
FL
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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