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Individual

DR. S0NIA R BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 SE HILLMOOR DR STE A-102, PORT ST LUCIE, FL 34952-7545
(772) 249-2494
Mailing address
308 W 11TH ST APT 1, RIVIERA BEACH, FL 33404-7536
(561) 468-0900

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
12/25/2024
Last updated
12/25/2024
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