William Bruce Benner, AP

Individual provider Active NPI Acupuncturist · Osprey, FL

NPI 1770778151 · NPPES record last updated Jul 30, 2008

Key facts

NPI
1770778151
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AP1328 (FL)
Practice address
929 S Tamiami TRL
Suite 206
Osprey, FL 34229-9239
Phone
(941) 917-7477
Fax
(941) 917-7940
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AP1328FLMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1328 FL Yes

Addresses

Primary practice location

929 S Tamiami TRL
Suite 206
Osprey, FL 34229-9239

Mailing address

PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-7477

Other providers in Osprey, FL

All providers in Osprey, FL · Acupuncturist in Florida

Sources for this page

Verify at the official NPI Registry.