Individual
CHARLES DUNN SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 S 5TH ST, MACCLENNY, FL 32063-2301
(904) 259-2725
(904) 259-2907
Mailing address
31 S 5TH ST, MACCLENNY, FL 32063-2301
(904) 259-2725
(904) 259-2907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 18474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049203500
—
FL
Enumeration date
07/17/2006
Last updated
09/13/2010
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