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1992999270
STEPHANIE R BENNETT
WINTER HAVEN, FL
NPI
1992999270
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Former Name
STEPHANIE R MELWANI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9105981)
Enumeration Date
2007-08-30
Last Update Date
2017-02-22
Business Address
Ms. STEPHANIE R BENNETT PA-C
5999 DUNDEE RD SUITE 750
WINTER HAVEN, FL 33884-1107
Phone number: 863-292-4077
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Mailing Address
Ms. STEPHANIE R BENNETT PA-C
PO BOX 10744
CLEARWATER, FL 33757-8744
Phone number: 727-532-0002
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