Individual
DR. CHARLES ROBINSON FAWSETT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W. EIGHTH ST., CLINICAL CENTER, 1ST FLOOR, JACKSONVILLE, FL 32209
(904) 244-3837
(904) 244-4508
Mailing address
655 W. EIGHTH ST. BOX C506, CLINICAL CENTER, 1ST FLOOR, JACKSONVILLE, FL 32209
(904) 244-3837
(904) 244-4508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME112904
FL
Other
Enumeration date
05/19/2009
Last updated
08/16/2012
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