Individual
CHARLES MICHAEL GRUDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 SW 34TH AVE, SUITE 502, OCALA, FL 34474-7456
(352) 629-7011
(352) 629-7924
Mailing address
3200 SW 34TH AVE, SUITE 502, OCALA, FL 34474-7456
(352) 629-7011
(352) 629-7924
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME 61060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17875
BCBS
—
01
—
720000084
RAILROAD MEDICARE
FL
Enumeration date
08/30/2006
Last updated
06/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us