Individual
DR. CHARLES G BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-5267
(850) 881-2668
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-5267
(850) 881-2668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME83813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263070200
—
FL
Enumeration date
05/18/2006
Last updated
12/21/2011
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