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BENJAMIN MICHAEL FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
PA9110661
FL
363A00000X
Physician Assistant
Primary
PA9110661
FL

Other

Enumeration date
12/07/2017
Last updated
02/06/2018
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