Individual
CHARLES ALEXANDER PRENTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 S PINE AVE, INVERNESS, FL 34452-4838
(352) 726-9006
Mailing address
214 S PINE AVE, INVERNESS, FL 34452-4838
(352) 726-9006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME038475
FL
Other
Enumeration date
06/17/2005
Last updated
02/09/2012
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