Individual
MR. CHARLES STEPHENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
801 DOUGLAS AVE STE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
(407) 830-8413
Mailing address
801 DOUGLAS AVE STE 208, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
(407) 830-8413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
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