Individual
DR. CHARLES LOUIS PERKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 W NEWBERRY RD, GAINESVILLE, FL 32605-6621
(352) 333-5840
(352) 333-5841
Mailing address
NORTH FLORIDA RADIATION ONCOLOGY LLC, 6420 W NEWBERRY RD, GAINESVILLE, FL 32605-4308
(352) 333-5840
(352) 333-5841
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
061319
GA
2085R0001X
Radiation Oncology Physician
Primary
ME105206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01357451
AQMERIGROUP
FL
05
—
109781100
—
FL
01
—
P306529
FREEDOM HEALTH
FL
01
—
P513673
OPTIMUM
FL
Enumeration date
01/16/2008
Last updated
09/26/2024
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