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CAROL A BENNETT ARNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1093813370

Individual Registrant:
 CAROL A BENNETT ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1302 RIVER ST  PALATKA, FL 32177-5042 US
Tel: 386-328-8371  Fax: 386-328-1519

Contact information for business:
1302 RIVER ST  PALATKA, FL 32177-5042 US
Tel: 386-328-8371  Fax: 386-328-1519

Registration Information:
NPI: 1093813370
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP1550822

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
308868500FL05
BCBS PROVIDER #Y0568FL01




HEALTH CARE JOBS FL - Page 1



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