Organization
INTEGRA LONGEVITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BENGSTON NP (OWNER)
(727) 214-4622
Entity
Organization
Contact information
Practice address
3901 66TH ST N STE 101, SAINT PETERSBURG, FL 33709-4949
(727) 214-4622
Mailing address
3901 66TH ST N STE 101, SAINT PETERSBURG, FL 33709-4949
(727) 214-4622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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