Most Relevant Information
Provider Data
| NPI Number: | 1003637588 |
| Provider Name: | ALEXCIA BENNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/18/2024 |
| Last Updated: | 10/18/2024 |
Provider Practice Location
505 MATECUMBE CT
MACCLENNY
FL
320638832
Practice Location Phone/Fax
| Phone: | 9044141675 |
| Fax: |
Provider Mailing Location
7645 GATE PKWY STE 104-1425
JACKSONVILLE
FL
322562889
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |