Individual
CHARLES BRIDGES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MIDLAND CT, NICEVILLE, FL 32578-9765
(850) 499-2930
Mailing address
111 MIDLAND CT, NICEVILLE, FL 32578-9765
(850) 499-2930
(850) 897-0372
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
W019590
FL
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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