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Individual

MS. STEPHANIE R BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5999 DUNDEE RD, SUITE 750, WINTER HAVEN, FL 33884-1107
(863) 292-4077
(863) 292-4079
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105981
FL

Other

Enumeration date
08/30/2007
Last updated
02/22/2017
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