Individual
GINA MARIE BENENATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
1900 NEBRASKA AVE STE 9, FORT PIERCE, FL 34950-4837
(772) 465-4499
Mailing address
14326 SW SOLANGE ST, PORT ST LUCIE, FL 34987-5845
(631) 624-5261
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11037797
FL
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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