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Individual

MR. CHARLES E NEETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1070 N STONE ST STE A, DELAND, FL 32720
(386) 943-7100
(386) 943-8909
Mailing address
1070 N STONE ST STE A, DELAND, FL 32720-0824
(386) 231-3072
(386) 231-5962

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001681
FL
363LF0000X
Family Nurse Practitioner
AP132452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
386389601
TX
01
386389602
CSHCN
TX
Enumeration date
11/03/2016
Last updated
06/20/2019
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