Individual
DR. CHARLES M GREMILLION JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 S MCCALL RD, SUITE A, ENGLEWOOD, FL 34224-5137
(941) 460-9159
(941) 460-9419
Mailing address
2400 S MCCALL RD, SUITE A, ENGLEWOOD, FL 34224-5137
(941) 460-9159
(941) 460-9419
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
57634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569437
—
FL
Enumeration date
01/13/2006
Last updated
05/09/2013
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