Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Alexandra Benjamin

Individual provider Physician Assistant · NPI 1184345647

Nicole Alexandra Benjamin is a Physician Assistant in Jacksonville, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2022, 4 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

11513 N Main St
Jacksonville, FL 32218-4002
Phone: (904) 751-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9116403 (FL)

Record details

NPI number1184345647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2022 (4 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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