Ensell, Benjamin Michael

Ensell, Benjamin Michael is an individual health care provider with primary practice located at 5821 S Williamson Blvd Ste 202 , Port Orange FL 32128-6102. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ensell, Benjamin Michael can be contacted via phone (386) 231-6325.

Contact Information

Primary practice address
5821 S Williamson Blvd Ste 202 Port Orange FL 32128-6102
Phone: (386) 231-6325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107261 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107261 Florida

Profile Details

NPI number 1932540861
LBN Legal business name Ensell, Benjamin Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Mar 16th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932540861 NPPES
Florida Other PA9107261 PHYSICIAN ASSISTANT LICENSE
Florida Other W6014 PHYSICIAN ASSISTANT LICENSE
Florida MEDICAID 015492900 PHYSICIAN ASSISTANT LICENSE

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