Ida Wallace Bennett Family Health Corporation
Ida Wallace Bennett Family Health Corporation is a Health Service Clinic/Center in Deerfield Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
331 N Deerfield AveDeerfield Beach, FL 33441-2028
Phone: (561) 900-6737
Fax: (954) 422-1726
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence ARNP2155102 (FL) |
|---|---|
| Health Service Clinic/Center | Taxonomy 261QH0100X |
Record details
| NPI number | 1417085697 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Johnson — President · (561) 900-6737 |
| Other names | Ida Wallace Bennett Family Corporation |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | July 16, 2013 |
| Mailing address | 331 N Deerfield Avenue, Deerfield Beach, FL 33441-2028 |
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