Individual
CHARLES E WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3475 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2322
(352) 628-7671
(352) 628-9893
Mailing address
3475 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2322
(352) 628-7671
(352) 628-9893
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060476301
—
FL
01
—
591842276001
TRICARE
FL
Enumeration date
10/04/2006
Last updated
06/10/2008
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