Bengston Family Practice Llc

NPI 1003180381 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1003180381
Enumeration Date 03/03/2012
Last Updated 03/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name EVELYN SUSANNE EVELYN
Position ARNP
Phone (863) 675-0550
Fax (863) 675-0553
Practice Location
870 W HICKPOCHEE AVE
SSUITE 1700
LABELLE FL, 33935-4313, US
Phone (863) 675-0550
Fax (863) 675-0553
Business Location
870 W HICKPOCHEE AVE
SSUITE 1700
LABELLE FL, 33935-4313, US
Phone (863) 675-0550
Fax (863) 675-0553
Toxanomy
Taxonomy Code 363LF0000X
License State Florida
License Number ARNP2209102
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According to our database, Bengston Family Practice Llc NPI is 1003180381, taxonomy code is 363LF0000X and license number is ARNP2209102, license state is located at Florida. Bengston Family Practice Llc physically located at 870 W Hickpochee Ave, Labelle FL, 33935-4313. NPI Number 1033115704 has the healthcare provider type.

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1003180381 NPI number is provided on an as is basis without warranty of any kind. 1003180381 is maintained by the National Plan & Provider Enumeration System. The contents of Bengston Family Practice Llc are for informational purposes only.