Individual
DR. CHARLES RICHARD UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 8TH ST N, NAPLES, FL 34102-5519
(239) 595-6687
Mailing address
400 8TH ST N, NAPLES, FL 34102-5519
(239) 595-6687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME38081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080054636
RR MC
FL
01
—
30421
BC BS
FL
Enumeration date
12/19/2006
Last updated
05/14/2014
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