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Benet Fanfan
Primary Care Nurse Practitioner in Lake Worth, Florida
NPI 1912524091

Benet Fanfan is a Primary Care Nurse Practitioner based in Lake Worth, FL and is specialized in Primary Care. Benet Fanfan practices in Lake Worth, FL. The NPI Number for Benet Fanfan is 1912524091 and holds a License No. 11007924 (Florida).

The current practice location address for Benet Fanfan is 5941 Strawberry Lakes Cir, Lake Worth, FL and can be reached out via phone at 561-568-5728.

Location: 5941 Strawberry Lakes Cir, Lake Worth, FL, 33463-6507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912524091
Provider Name
Benet Fanfan
Credential
Provider Entity Type
Individual
Gender
Male
Address
5941 Strawberry Lakes Cir, Lake Worth, FL, 33463-6507
Phone Number
561-568-5728
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5941 Strawberry Lakes Cir
City
Lake Worth
State
Florida
Zip
33463-6507
Phone Number
561-568-5728
Fax Number
person
Provider Business Mailing Address Details
Address
5941 Strawberry Lakes Cir
City
Lake Worth
State
Florida
Zip
33463-6507
Phone Number
561-568-5728
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
11007924 (Florida)
Definition
Definition to come...
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