Individual
DR. CARLFRED CHARLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
453 N KIRKMAN RD, ORLANDO, FL 32811-1109
(407) 914-2325
Mailing address
453 N KIRKMAN RD, ORLANDO, FL 32811-1109
(407) 914-2325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24115
FL
207R00000X
Internal Medicine Physician
HSE 24115
FL
363AM0700X
Medical Physician Assistant
000143-PA
—
Other
Enumeration date
02/21/2017
Last updated
09/02/2019
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