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Search › Florida › 207Q00000X

Benjamin Nettleton, D.O

NPI 1164698932 · on the registry since 2008

Practice

Address
5005 Port St John Pkwy
Suite 2500
Port St John, FL 32927
Phone
(321) 504-0556
Fax
(321) 504-0773
Organisation at this address
Florida East Coast Imaging Llc
Medfast Urgent Care Centers, Llc
North Brevard Medical Support, Inc
North Brevard Medical Support, Inc
North Brevard Medical Support, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
PA, WA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida