Individual provider · Type 1 NPI

Benjamin Reed Nettleton, DO

Family Medicine Physician · Port St. John, FL

NPI number 1164698932 Active

Practice location

5005 Port St John Pkwy, Suite 2500
Port St. John, FL 32927-4305

Fax (321) 504-0773

Mailing address

805 Century Medical Dr, Credentialing Office
Titusville, FL 32796-2100

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOT011289 (PA)
Family Medicine Physician 207Q00000XOP0077518 (WA)
Family Medicine Physician Primary 207Q00000XOS13715 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1164698932

Benjamin Reed Nettleton, DO's National Provider Identifier is 1164698932, issued on May 1, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Port St. John, FL. The record was last updated on Jan 4, 2017.