Individual
DR. CHARLES JOHN ABLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14540 CORTEZ BLVD, SUITE 123, BROOKSVILLE, FL 34613-6056
(352) 596-1513
(352) 596-5918
Mailing address
4264 BRAEMERE DR, SPRING HILL, FL 34609-0682
(352) 596-1513
(352) 596-5918
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
106333
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35260
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E-4352
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00426308
RAILROAD MEDICARE
—
Enumeration date
08/23/2006
Last updated
03/07/2023
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