Individual provider · Type 1 NPI

Stephanie R. Bennett, PA-C

Medical Physician Assistant · Winter Haven, FL

NPI number 1992999270 Active

Practice location

5999 Dundee Rd, Suite 750
Winter Haven, FL 33884-1107

Call (863) 292-4077 Map

Fax (863) 292-4079

Mailing address

PO Box 10744
Clearwater, FL 33757-8744

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105981 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1992999270

Stephanie R. Bennett, PA-C's National Provider Identifier is 1992999270, issued on Aug 30, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winter Haven, FL. The record was last updated on Feb 22, 2017.