Individual
MR. EUGENE G CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
(850) 379-5800
(850) 379-5811
Mailing address
17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
(850) 379-5800
(850) 379-5811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2586282
—
FL
05
—
258628200
—
FL
Enumeration date
06/10/2005
Last updated
03/02/2017
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