Individual
CHARLES EGUAVOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(404) 740-2913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
007914
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11041466
FL
Other
Enumeration date
06/12/2025
Last updated
10/07/2025
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