Individual
ANTONETTE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10040 REFLECTIONS BLVD APT 106, SUNRISE, FL 33351-8306
(954) 907-1233
Mailing address
12717 W SUNRISE BLVD # 237, SUNRISE, FL 33323-0902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA19992
FL
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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