Healthcare Provider Details

I. General information

NPI: 1760664718
Provider Name (Legal Business Name): AVONNY CADECIA CHRISTEEN BENNETT PMHNP-BC,CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2007
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 NE 191ST ST
MIAMI FL
33179-3899
US

IV. Provider business mailing address

382 NE 191ST ST
MIAMI FL
33179-3899
US

V. Phone/Fax

Practice location:
  • Phone: 561-250-7660
  • Fax: 561-709-8935
Mailing address:
  • Phone: 561-250-7660
  • Fax: 561-709-8935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9170652
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9170652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: