Individual
DR. BENJAMIN JAMES MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 558-6489
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 558-6186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS12558
FL
390200000X
Student in an Organized Health Care Education/Training Program
58.003176
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012465000
—
FL
01
—
PENDING
BCBS
FL
Enumeration date
10/15/2009
Last updated
04/14/2025
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