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Mr. Benjamin Michael Ensell, PA-C
Medical Physician Assistant in Tampa, Florida
NPI 1932540861

Benjamin Michael Ensell is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Benjamin Michael Ensell practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Benjamin Michael Ensell is 1932540861 and holds a License No. PA9107261 (Florida).

The current practice location address for Benjamin Michael Ensell is 4612 N Habana Ave Fl 1, Tampa, FL and can be reached out via phone at 813-840-3526 and via fax at 813-840-3555. You can also correspond with Benjamin Michael Ensell through the mailing address at 4612 N HABANA AVE FL 1, TAMPA, FL - 33614-7101 (mailing address contact number: 813-840-3526).

Location: 4612 N Habana Ave Fl 1, Tampa, FL, 33614-7101
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Provider Profile Details
NPI Number
1932540861
Provider Name
Benjamin Michael Ensell
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4612 N Habana Ave Fl 1, Tampa, FL, 33614-7101
Phone Number
813-840-3526
Fax Number
813-840-3555
Provider Enumeration Date
07/08/2013
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9107261 01 FL PHYSICIAN ASSISTANT LICENSE
015492900 05 FL
institution
Provider Business Practice Location Address Details
Address
4612 N Habana Ave Fl 1
City
State
Zip
33614-7101
Phone Number
813-840-3526
Fax Number
813-840-3555
person
Provider Business Mailing Address Details
Address
4612 N Habana Ave Fl 1
City
State
Zip
33614-7101
Phone Number
813-840-3526
Fax Number
813-840-3555
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9107261 (Florida)
Definition
Definition to come...
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