Individual provider · Type 1 NPI

Benjamin Keith Mattox, PA-C, DRPH

Surgical Physician Assistant · Pensacola, FL

NPI number 1669725644 Active

Practice location

220 Hovey Rd
Pensacola, FL 32508-1044

Other practice locations

  • 200 Mercy Circle, Camp Pendleton, CA 92055 · (760) 725-1288
  • 27001 Moulton Pkwy Ste A102, Laguna Hills, CA 92656-3626 · (949) 244-0304

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X61454 (CA)
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X0110005055 (VA)
Surgical Physician Assistant Primary 363AS0400X61454 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1669725644

Benjamin Keith Mattox, PA-C, DRPH's National Provider Identifier is 1669725644, issued on Oct 16, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pensacola, FL. The record was last updated on Aug 14, 2025.