Organization
CGR BEACON CLINIC, PA
Active
Other names
CGR Beacon Clinic, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE JOAN ROSENFIELD ARNP (ARNP)
(941) 629-7855
Entity
Organization
Contact information
Practice address
3782 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8353
(941) 629-7855
(941) 629-9589
Mailing address
PO BOX 496080, PORT CHARLOTTE, FL 33949-6080
(941) 629-7855
(941) 629-9589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ARNP2935382
FL
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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