Individual
MR. CHARLES M FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9122 TOWN CENTER PKWY STE 102, LAKEWOOD RANCH, FL 34202-5050
(941) 373-3910
(941) 346-9646
Mailing address
11219 CORALBEAN DR, LAKEWOOD RANCH, FL 34202-2894
(941) 918-9575
(941) 346-9646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6558
FL
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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