Individual
DR. CHARLES KENT POWERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5612 NW 43RD ST, GAINESVILLE, FL 32653-3332
(352) 376-4542
(352) 376-4959
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(352) 376-4542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME132034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021744500
—
FL
01
—
OB926
FL MEDICARE
FL
Enumeration date
05/19/2014
Last updated
09/14/2021
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