Individual
CHARLES VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
782 SW SISTERS WELCOME RD, LAKE CITY, FL 32025-0442
(386) 755-4518
(386) 758-4500
Mailing address
782 SW SISTERS WELCOME RD, LAKE CITY, FL 32025-0442
(386) 755-4518
(386) 758-4500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME67182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27862
BLUECROSS BLUESHIELD
FL
Enumeration date
08/18/2006
Last updated
07/08/2007
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