Individual
BENJAMIN CLARENCE GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2022043471
MO
2084N0400X
Neurology Physician
35.146709
OH
2084N0400X
Neurology Physician
66978
TN
2084N0400X
Neurology Physician
Primary
ME157350
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2018
Last updated
06/28/2024
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