Individual
BENJAMIN D ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
230 VILLAGE COMMONS DR, ST AUGUSTINE, FL 32092-4545
(904) 940-1441
(904) 390-7463
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102201924
VA
207Q00000X
Family Medicine Physician
Primary
OS15748
FL
207Q00000X
Family Medicine Physician
P1543
TX
Other
Enumeration date
10/19/2006
Last updated
08/28/2024
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