Individual
CHARLES J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11181 HEALTH PARK BLVD STE 3030, NAPLES, FL 34110-5743
(239) 249-8996
(239) 431-5845
Mailing address
681 4TH AVE N STE 201, NAPLES, FL 34102-5729
(239) 920-5700
(239) 920-5710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0075601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0075601
STATE LICENSE
FL
Enumeration date
05/16/2006
Last updated
09/19/2024
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