Mark Arden Benedict, ATC, LAT
Specialist/Technologist, Athletic Trainer in Lake Mary, FL. Individual provider (NPI-1).
NPI number1083993489
StatusActive
Last updated in NPPESAug 16, 2011
Details
- NPI
- 1083993489
- Entity type
- Individual (NPI-1)
- Name
- Mark Arden Benedict
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2011
- Last updated
- Aug 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL 1110 | FL | Yes |
Practice location
1341 Arbor Vista Loop# 225
Lake Mary, FL 32746-1683
Phone 386-747-0790
Mailing address
1341 Arbor Vista Loop# 225
Lake Mary, FL 32746-1683
Phone 386-747-0790
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