Nicole A. Benjamin
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Nicole Alexandra Benjamin
NPI Number
1184345647
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/02/2022
Specialties
(Taxonomies)Licenses
State
Florida
License Number
9116403
Contact
Information
Purpose
Mailing
Location
Address
2675 WINKLER AVE FL 2
11513 N MAIN ST
City
Fort Myers
Jacksonville
State
FL
FL
Postal Code
33901-9342
32218-4002
Country
US
US
Telephone Number
(877) 856-3774
(904) 751-6200
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/03/2022