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Individual

DR. CHARLES FREDERICK BALBUENA HEATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1305 N ORANGE AVE, GREEN COVE SPRINGS, FL 32043-2547
(787) 644-1472
(866) 412-8287
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16184
PR

Other

Enumeration date
10/11/2005
Last updated
07/18/2023
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