Individual
MR. CHARLES HOWARD DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBA
Contact information
Practice address
1024 40TH AVE NE, SAINT PETERSBURG, FL 33703-5228
(727) 821-6932
Mailing address
1024 40TH AVE NE, SAINT PETERSBURG, FL 33703-5228
(727) 821-6932
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251COOOOOX
FL
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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