Individual
DESREEN E BENNETT-BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6040
(863) 386-6048
Mailing address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6040
(863) 386-6048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2036402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301858500
—
FL
01
—
ARNP2036402
ARNP LICENSE
FL
Enumeration date
03/15/2006
Last updated
12/16/2008
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