Individual
DR. CHARLES ALAN CHARBONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2951 S BLUE ANGEL PKWY, PENSACOLA, FL 32506-6906
(850) 456-2019
(850) 458-4946
Mailing address
2951 S BLUE ANGEL PKWY, PENSACOLA, FL 32506-6906
(850) 456-2019
(850) 458-4946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
L544145
MI
152W00000X
Optometrist
Primary
OPC4286
FL
Other
Enumeration date
12/21/2005
Last updated
12/04/2015
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