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NPI Code Detail

MEDICARE: MARTINE BIENVENU

MEDICARE: MARTINE BIENVENU
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
1164W00000XLicensed Practical NursePN5234197FL

General Provider Information

NPI Number : 1437646049
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTINE BIENVENU
Provider Business Mailing Address
First Line : 9015 41ST ST E
Second Line :
City : PARRISH
State : FL
Zip : 34219-2221
Country : US
Telephone Number : 941-565-4159
Fax Number : 941-281-2021
Provider Business Practice Location Address
First Line : 1755 18TH ST
Second Line :
City : SARASOTA
State : FL
Zip : 34234-8657
Country : US
Telephone Number : 941-955-4915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2018
Last Update Date : 04/18/2018

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Directions to “ MARTINE BIENVENU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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