Individual
DR. CHARLES CURTIS CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 FAIRLAWN CT, MARCO ISLAND, FL 34145-3850
(239) 642-0724
Mailing address
727 FAIRLAWN CT, MARCO ISLAND, FL 34145-3850
(239) 642-0724
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME81210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00808446
RXR MCR
OH
Enumeration date
08/28/2006
Last updated
05/10/2026
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