Individual
TAMARA BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SOUTH AVE, LEESBURG, FL 34748-8180
(352) 404-3566
(352) 323-1924
Mailing address
2415 SOUTH AVE, LEESBURG, FL 34748-8180
(352) 404-3566
(352) 323-1924
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
10/12/2017
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