Individual
DR. CHARLES W. LUETKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME50402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049948000
—
FL
Enumeration date
07/26/2006
Last updated
11/19/2009
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