Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN REED NETTLETON, D.O.
ActiveDR. BENJAMIN REED NETTLETON, D.O. is a Family Medicine healthcare provider located in PORT ST JOHN, Florida. NPI 1164698932 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT ST JOHN, FL
Registration Details
- NPI Number
- 1164698932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2008 (18.106075079469 yrs)
- Last Updated
- Jan 4, 2017
- Licenses
-
OT011289 (PA)OP0077518 (WA)OS13715 (FL)
Practice Information
- Address
-
5005 PORT ST JOHN PKWYSUITE 2500PORT ST JOHN, FL, 329274305Browse FL providers · Browse ZIP 32927
- Phone
- 3215040556
- Fax
- 3215040773
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PORT ST JOHN, FL
| Name | Credential | NPI |
|---|---|---|
| MS. AMBER W SURBER | MD | 1114010154 |
| DR. SAMINDER SINGH | M.D. | 1740592815 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.