Individual
BENJAMIN CHARLES HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8960 COLONIAL CENTER DR STE 300, FORT MYERS, FL 33905-7810
(239) 343-9470
(239) 343-9498
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9470
(239) 343-9498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME157101
FL
207Q00000X
Family Medicine Physician
MRM-1474
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115243500
—
FL
Enumeration date
06/25/2013
Last updated
09/01/2022
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