Individual
CHARLES DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP,BOCP,RTP,,BOCPED
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4837
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
224P00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593214855
VETERANS ADMINISTRATION
FL
Enumeration date
10/28/2008
Last updated
10/28/2008
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