Organization
CHARLES D BISOGNO DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D BISOGNO D.O. (PRESIDENT/PHYSICIAN)
(407) 846-8288
Entity
Organization
Contact information
Practice address
201 HILDA ST, SUITE 14, KISSIMMEE, FL 34741-2320
(407) 846-8288
(407) 846-3162
Mailing address
201 HILDA ST, SUITE 14, KISSIMMEE, FL 34741-2320
(407) 846-8288
(407) 846-3162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS4508
FL
207RG0100X
Gastroenterology Physician
OS4508
FL
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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