# DJRJ2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comprehensive Women's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164676771
- **Authorized official:** DR. JOSEPH MICHAEL CHARL3S JR. MD (OWNER)
- **Authorized official phone:** (386) 365-3845

## Contact information

- **Practice address:** 4225 NW AMERICAN LN, LAKE CITY, FL 32055-8841
- **Practice address phone:** (386) 365-3845
- **Mailing address:** PO BOX 805, LAKE CITY, FL 32056-0805
- **Mailing address phone:** (386) 755-9190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME82558 | FL | Yes |

## Other

- **Enumeration date:** 11/10/2008
- **Last updated:** 11/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 274840100 | — | FL |