Steven A Bennett ATC, LAT

NPI 1790832962 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1790832962
Gender Male
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6400 W PRICE BLVD
NORTH PORT FL, 34286-4104, US
Phone (941) 468-2051
Fax
Business Location
6400 W PRICE BLVD
NORTH PORT FL, 34286-4104, US
Phone (941) 468-2051
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Florida
License Number AL1487
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According to our database, Steven A Bennett ATC, LAT NPI is 1790832962, taxonomy code is 2255A2300X and license number is AL1487, license state is located at Florida. Steven A Bennett ATC, LAT physically located at 6400 W Price Blvd, North Port FL, 34286-4104. NPI Number Steven A Bennett ATC, LAT has the Individual type.

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1790832962 NPI number is provided on an as is basis without warranty of any kind. 1790832962 is maintained by the National Plan & Provider Enumeration System. The contents of Steven A Bennett ATC, LAT are for informational purposes only.