Benjamin Reed Nettleton in Port St John - Family Medicine
Benjamin Reed Nettleton - NPI 1164698932
Benjamin Reed Nettleton is a Family Medicine in Port St John, Florida. Benjamin Reed Nettleton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Benjamin Reed Nettleton is 1164698932. The last update date is 2017-01-04.
Benjamin Reed Nettleton's current location address is 5005 Port St John Pkwy, Port St John, Florida. You can contact this provider via phone number 3215040556 and fax number 3215040773. The mailing address for Benjamin Reed Nettleton is 5005 Port St John Pkwy, Port St John, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Reed Nettleton |
|---|---|
| Address | 5005 Port St John Pkwy, Port St John, Florida |
| Phone Number | 3215040556 |
| Fax Number | 3215040773 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1164698932 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2017-01-04 |
Provider Mailing Address Detail
| Address | 5005 Port St John Pkwy |
|---|---|
| City | Port St John |
| State | Florida (FL) |
| Post Code | 329274305 |
| Phone Number | 3215040556 |
| Fax Number | 3215040773 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OT011289 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 249449 | WA | LABOR & INDUSTRIES | |
| 8544645 | WA | -- | |
| 19231000 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Benjamin Reed Nettleton by the Centers for Medicare & Medicaid Services?
The Benjamin Reed Nettleton has been issued the NPI (National Provider Identifier) 1164698932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Benjamin Reed Nettleton is physically located?
The Benjamin Reed Nettleton is physically situated at the following address: 5005 Port St John Pkwy, Port St John, FL, 329274305.
What is Benjamin Reed Nettleton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Benjamin Reed Nettleton is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did Benjamin Reed Nettleton receive its 1164698932 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin Reed Nettleton was assigned its 1164698932 on 2008-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Benjamin Reed Nettleton's details last updated?
The information pertaining to the Benjamin Reed Nettleton, including its address, specialty, and other details, was most recently updated on 2017-01-04.
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