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Individual

DR. CHARLES KILO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1495 PINE RIDGE RD STE 4, NAPLES, FL 34109-2113
(239) 594-5456
(239) 592-5456
Mailing address
2675 WINKLER AVE, FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2625

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME85812
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265402400
FL
01
40916F
BLUE CROSS
FL
01
84058
FL BC
FL
Enumeration date
06/07/2006
Last updated
12/19/2019
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