SHANE BENNETT

TAMPA, FL
NPI1780198168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP9323265)
Enumeration Date2017-11-21
Last Update Date2018-01-11
Business Address
MR. SHANE BENNETT ARNP
2106 S LOIS AVE
TAMPA, FL 33629-5659
Phone number: 813-844-4200
Mailing Address
MR. SHANE BENNETT ARNP
2106 S LOIS AVE
TAMPA, FL 33629-5659
Phone number: 813-844-4200
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