Organization
CHARLES L BATSON PA FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BATSON SR. (PHYSICIAN)
(407) 621-1056
Entity
Organization
Contact information
Practice address
450 W SR 434, #2010, LONGWOOD, FL 32750-5118
(407) 331-7010
Mailing address
450 W SR 434, #2010, LONGWOOD, FL 32750-5118
(407) 331-7010
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW865
PTAN
FL
Enumeration date
11/26/2014
Last updated
11/26/2014
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