Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENET FANFAN
Active Sole ProprietorBENET FANFAN is a Primary Care Nurse Practitioner healthcare provider located in LAKE WORTH, Florida. NPI 1912524091 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · LAKE WORTH, FL
Registration Details
- NPI Number
- 1912524091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2020 (6.1184443120535 yrs)
- Last Updated
- Jul 6, 2020
- License
-
11007924 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5941 STRAWBERRY LAKES CIRLAKE WORTH, FL, 334636507Browse FL providers · Browse ZIP 33463
- Phone
- 5615685728
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in LAKE WORTH, FL
| Name | Credential | NPI |
|---|---|---|
| MS. SUZELLE GAUTHIER | — | 1073057550 |
| ALICIA MERCEDES RODRIGUEZ | — | 1386155505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.