Individual
ROXANNA M BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
(850) 436-2095
Mailing address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9106742
LICSNESE
FL
Enumeration date
09/24/2012
Last updated
07/25/2013
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