Individual
TAMMY BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
212 W BAY AVE, LONGWOOD, FL 32750-4126
(407) 265-1888
(407) 265-9581
Mailing address
1960 LAKE EMMA RD., LAKE MARY, FL 32746
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP0001055
FL
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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