Individual
MR. BENNETT BURBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., C.A.P
Contact information
Practice address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(800) 892-0640
Mailing address
2701 N ROCKY POINT DR STE 650, TAMPA, FL 33607-5999
(800) 892-0640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 7580
FL
Other
Enumeration date
05/23/2007
Last updated
10/30/2019
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