Female

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)

Code

363A00000X

Primary Taxonomy

Yes

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

Provider Address

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