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Organization

BENKAY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL LAWRENCE BENNETT DC (PRESIDENT)
(352) 563-6471
Entity
Organization

Contact information

Practice address
375 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 563-6471
(352) 563-5062
Mailing address
375 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 563-6471
(352) 563-5062

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5987
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380824600
FL
Enumeration date
01/03/2012
Last updated
01/11/2012
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