Individual
CHARLES GERARD FAHRENHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP,CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
(352) 273-8612
Mailing address
10043 GRAND CANAL DR UNIT 17301, WINDERMERE, FL 34786-5863
(504) 818-4743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9510615
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11003021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103759300
—
FL
Enumeration date
05/17/2019
Last updated
12/12/2025
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