Benton, Roxanna M

Benton, Roxanna M is an individual health care provider with primary practice located at 2200 N Palafox St , Pensacola FL 32501-1723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Benton, Roxanna M can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
2200 N Palafox St Pensacola FL 32501-1723
Phone: (850) 436-4630
Fax: (850) 436-2095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9106742 Florida

Profile Details

NPI number 1912258518
LBN Legal business name Benton, Roxanna M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2012
Last updated Jul 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912258518 NPPES
Florida Other PA9106742 LICSNESE

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