Individual
DR. CHARLES R DESCHENEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2984 ALAFAYA TRL, #1030, OVIEDO, FL 32765-7628
(407) 365-4040
(407) 365-9800
Mailing address
2984 ALAFAYA TRL, #1030, OVIEDO, FL 32765-7628
(407) 365-4040
(407) 365-9800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620387600
—
FL
05
—
620387601
—
FL
Enumeration date
10/11/2005
Last updated
03/01/2010
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