Individual
DR. CHARLES EDWARD KOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 W INDIAN RIVER BLVD, EDGEWATER, FL 32132-3429
(386) 426-1411
(386) 426-0457
Mailing address
812 W INDIAN RIVER BLVD, EDGEWATER, FL 32132-3429
(386) 426-1411
(386) 426-0457
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0065222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002875400
—
FL
Enumeration date
08/17/2006
Last updated
12/09/2010
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