Individual
DR. CHARLES MUZONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E6620
AR
208M00000X
Hospitalist Physician
E6620
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003174656A
—
GA
05
—
016871900
—
FL
01
—
ME127137
FL LICENSE
FL
Enumeration date
08/27/2009
Last updated
09/23/2024
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