Individual
MR. CHARLES POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 17TH ST STE B, SAINT CLOUD, FL 34769-6021
(407) 892-0009
(407) 892-3285
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0056498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34984
BLUE CROSS BLUE SHEILD
FL
Enumeration date
04/27/2006
Last updated
08/12/2022
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