Individual
CHARLES GRESHAM ROSE STONEBURNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-5526
Mailing address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
57448
KY
2085R0202X
Diagnostic Radiology Physician
ME120997
FL
2085R0202X
Diagnostic Radiology Physician
S0099
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME120997
FL
Other
Enumeration date
04/26/2013
Last updated
11/26/2023
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