Individual
BENJAMIN ALGREN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 S PENINSULA DR, DAYTONA BEACH, FL 32118-4422
(386) 310-2160
(386) 310-2106
Mailing address
222 S PENINSULA DR, DAYTONA BEACH, FL 32118-4422
(386) 310-2160
(386) 310-2106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9115164
PA-C LICENSE NUMBER
FL
Enumeration date
10/26/2021
Last updated
01/22/2025
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