Bengston Family Practice LLC

NPI #1003180381 in Labelle, Florida

Provider Information

NPI Number
1003180381
Entity Type
Organization
Organization Name
Bengston Family Practice LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 3, 2012
Last Updated
Mar 7, 2012

Practice Location

Address
870 W HICKPOCHEE AVE
Address 2
SSUITE 1700
State
Florida
ZIP Code
33935-4313
Phone
(863) 675-0550

Authorized Official

Name
EVELYN SUSANNE BENGSTON, ARNP
Title
ARNP
Phone
(863) 675-0550

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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