Individual
DR. BENJAMIN MATTHEW PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(571) 577-7924
Mailing address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7300
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
40472
FL
208D00000X
General Practice Physician
Primary
0101287188
VA
Other
Enumeration date
04/08/2024
Last updated
08/08/2025
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