Individual
DR. CHARLES A SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
OMEHS, CHS-005, KSC, FL 32899
(321) 861-8630
(321) 867-9360
Mailing address
56 CRYSTAL RIVER DR, COCOA BEACH, FL 32931-2830
(321) 799-9862
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
56366
FL
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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