Individual
WILLIAM BRUCE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
929 S TAMIAMI TRL, SUITE 206, OSPREY, FL 34229-9239
(941) 917-7477
(941) 917-7940
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-7477
(941) 917-7940
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1328
FL
Other
Enumeration date
09/10/2007
Last updated
07/30/2008
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