Organization
CHARLES A PRENTICE MD PA
Active
Other names
Charles A Prentice MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ALEXANDER PRENTICE MD (PHYSICIAN)
(352) 726-9006
Entity
Organization
Contact information
Practice address
214 S PINE AVE, INVERNESS, FL 34452-4838
(352) 726-9006
Mailing address
214 S PINE AVE, INVERNESS, FL 34452-4838
(352) 726-9006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME38475
FL
Other
Enumeration date
11/02/2011
Last updated
11/15/2011
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