Individual
DR. CHARLES MARSHALL HOUSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4607 HIGHWAY 17 SOUTH, ORANGE PARK, FL 32003-7866
(904) 269-4559
(904) 269-4597
Mailing address
4607 US HIGHWAY 17, ORANGE PARK, FL 32003-7866
(904) 269-4559
(904) 269-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME14495
FL
Other
Enumeration date
03/03/2007
Last updated
05/09/2014
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