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Individual

DR. CHARLES L. NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. O.

Contact information

Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-4000
Mailing address
DEPT AT 952627, ATLANTA, GA 31192-2627
(850) 476-8602

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS4526
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069307300
FL
01
82557
BCBS FLORIDA
FL
Enumeration date
04/18/2006
Last updated
02/18/2008
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