MEDICARE: BARNETTE BENOIT FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11008751	FL

General Provider Information

NPI Number	:	1780296772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARNETTE BENOIT FNP

Provider Business Mailing Address
First Line	:	5600 S PINE ISLAND RD
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-5935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 S PINE ISLAND RD
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-5935
Country	:	US
Telephone Number	:	754-242-2807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2020
Last Update Date	:	08/20/2020

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