Individual
CHARLES A LUXENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2595 TAMPA RD, SUITE A, PALM HARBOR, FL 34684-3152
(727) 785-6777
(727) 785-7102
Mailing address
2595 TAMPA RD, SUITE A, PALM HARBOR, FL 34684-3152
(727) 785-6777
(727) 785-7102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0035503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0035503
FL STATE
FL
Enumeration date
09/08/2005
Last updated
03/07/2023
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