Individual
DR. BENJAMIN KEITH MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DRPH
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(571) 435-0134
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005055
VA
363A00000X
Physician Assistant
61454
CA
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
61454
CA
Other
Enumeration date
10/16/2012
Last updated
08/14/2025
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