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Individual

DR. CHARLES E LIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2477 STICKNEY POINT RD, SUITE 202A, SARASOTA, FL 34231-4076
(941) 923-2567
(941) 925-4334
Mailing address
2477 STICKNEY POINT RD, SUITE 202A, SARASOTA, FL 34231-4076
(941) 923-2567
(941) 925-4334

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3893
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88834
BLUE CROSS
FL
Enumeration date
07/28/2006
Last updated
07/25/2008
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