| Dr Benjamin Reed Nettleton, DO | |
|
5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 | |
| (321) 504-0556 | |
| (321) 504-0773 |
| Full Name | Dr Benjamin Reed Nettleton |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5005 Port St John Pkwy, Port St John, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164698932 | NPI | - | NPPES |
| 249449 | Other | WA | LABOR & INDUSTRIES |
| 8544645 | Medicaid | WA | |
| 019231000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OT011289 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | OP0077518 (Washington) | Secondary |
| 207Q00000X | Family Medicine | OS13715 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Reed Nettleton, DO 805 Century Medical Dr, Credentialing Office, Titusville, FL 32796-2100 Ph: (321) 268-6264 | Dr Benjamin Reed Nettleton, DO 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 Ph: (321) 504-0556 |
Ms. Amber W Surber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7227 N Highway 1, Suite 100, Port St John, FL 32927 Phone: 321-637-1595 Fax: 321-637-1596 | |
Dr. Anthony Joseph Allotta Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Port St John Pkwy # 2100, Parrish Medical Group, Port St John, FL 32927 Phone: 321-433-2247 Fax: 321-635-9310 | |
Dr. Saminder Singh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7227 N Us Highway 1 Ste 100, Port St John, FL 32927 Phone: 321-637-1595 Fax: 321-637-1596 |