Individual
CHARLES HOMOLKA
Active
Individual
CHARLES HOMOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME70760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050046654
RAILROAD MEDICARE
—
01
—
222990
AMERIGROUP
—
05
—
252581000
—
FL
01
—
32297
BC/BS FL
FL
Enumeration date
01/20/2006
Last updated
03/01/2024
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