Individual
CHARLEMAGNE MARIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3761 20TH AVE SE, NAPLES, FL 34117-9186
(305) 467-4816
Mailing address
3761 20TH AVE SE, NAPLES, FL 34117-9186
(305) 467-4816
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19257
PR
Other
Enumeration date
02/11/2016
Last updated
02/16/2016
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