Individual
MR. CHARLES L CORNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 STATE ROAD 415, SANFORD, FL 32771
(407) 322-8645
(407) 322-8725
Mailing address
266 BRASSINGTON DR, DEBARY, FL 32713-2139
(386) 775-4063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2490
FL
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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