Individual
STEVEN A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6400 W PRICE BLVD, NORTH PORT, FL 34286-4104
(941) 468-2051
Mailing address
6400 W PRICE BLVD, NORTH PORT, FL 34286-4104
(941) 468-2051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1487
FL
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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