Norma Bennett

Individual provider Active NPI Attendant Care Provider · Tavares, FL

NPI 1639729098 · NPPES record last updated Sep 18, 2019

Key facts

NPI
1639729098
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1123 Orange Ave
Tavares, FL 32778-2341
Phone
(570) 971-2757
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

1123 Orange Ave
Tavares, FL 32778-2341

Mailing address

1123 Orange Ave
Tavares, FL 32778-2341
Phone (570) 971-2757

Other providers in Tavares, FL

All providers in Tavares, FL · Attendant Care Provider in Florida

Sources for this page

Verify at the official NPI Registry.