Organization
ENGLEWOOD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B. EAGAR M.D. (OWNER)
(941) 475-6207
Entity
Organization
Contact information
Practice address
655 N INDIANA AVE, ENGLEWOOD, FL 34223-2766
(941) 475-6207
(941) 475-9801
Mailing address
655 N INDIANA AVE, ENGLEWOOD, FL 34223-2766
(941) 475-6207
(941) 475-9801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME 46072
FL
Other
Enumeration date
11/10/2006
Last updated
10/12/2007
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