Individual
MR. CHARLES WESLEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
258 S CHICKASAW TRL STE 203, ORLANDO, FL 32825-3558
(407) 303-6588
(407) 303-6592
Mailing address
258 S CHICKASAW TRL STE 203, ORLANDO, FL 32825-3558
(407) 303-6588
(407) 303-6592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106981
FL
363AM0700X
Medical Physician Assistant
PA9106981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101659300
—
FL
01
—
HM432Y
MEDICARE
FL
Enumeration date
08/10/2006
Last updated
04/13/2023
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