Organization
CHARLES VARGHESE M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERLY J VARGHESE (OFFICE MANAGER)
(386) 209-5518
Entity
Organization
Contact information
Practice address
782 SW SISTERS WELCOME RD, LAKE CITY, FL 32025-0442
(386) 755-4518
(386) 758-4500
Mailing address
782 SW SISTERS WELCOME RD, LAKE CITY, FL 32025-0442
(386) 755-4518
(386) 758-4500
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME67182
FL
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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