Individual
ALBERT EUGENE CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5504 PINEBROOK RD, NOKOMIS, FL 34275-3672
(941) 218-6200
(941) 218-6182
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD426949
PA
207Q00000X
Family Medicine Physician
MD426949
PA
207Q00000X
Family Medicine Physician
Primary
ME127208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027311601
UNIVERA
NY
01
—
02702716
NY MEDICAL ASSISTANCE
NY
05
—
1013438520001
—
PA
01
—
1068852
WEST VIRGINIA WORK COMP
WV
01
—
1546470
GATEWAY
PA
01
—
171877
UNISON
NY
01
—
2581880
OH MEDICAL ASSISTANCE
OH
01
—
3953000
AETNA
PA
01
—
489732
BLUE SHIELD
PA
01
—
707502
UPMC
PA
01
—
P00310036
RR MEDICARE
PA
Enumeration date
07/20/2005
Last updated
04/01/2024
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