Individual
CHARLES W GRAEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 9TH ST N STE 100, NAPLES, FL 34102-5886
(239) 624-0940
(239) 624-0941
Mailing address
311 9TH ST N STE 100, NAPLES, FL 34102-5886
(239) 624-0940
(239) 624-0941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
020577
CT
207RN0300X
Nephrology Physician
Primary
ME127393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018238900
—
FL
05
—
1205772
—
CT
01
—
IQ727Z
MEDICARE
FL
01
—
IX06N
BCBS
FL
Enumeration date
01/31/2006
Last updated
07/21/2022
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