DETRA M BENNETT — OIG Excluded Provider (ORANGE PARK, FL, 1128b4)
DETRA M BENNETT — OIG Excluded Provider (ORANGE PARK, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DETRA M BENNETT; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | DETRA M BENNETT |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | NURSE/NURSES AIDE |
| City | ORANGE PARK |
| State | FL |
| ZIP | 32073 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2014-08-20 |
| Source | HHS-OIG LEIE |
$1499/mo
Try ExcludeCheck →