Organization
CHARLES F NARDI M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES F NARDI MD (OWNER)
(352) 331-6015
Entity
Organization
Contact information
Practice address
6021 NW 1ST PL, GAINESVILLE, FL 32607-2025
(352) 331-6015
(352) 331-6014
Mailing address
6021 NW 1ST PL, GAINESVILLE, FL 32607-2025
(352) 331-6015
(352) 331-6014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254622100
—
FL
01
—
43373
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
05/11/2010
Last updated
06/01/2010
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