Individual
AMANDA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
4008 W SANTIAGO ST, TAMPA, FL 33629-6731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9312991
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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