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Individual

DR. CHARLES RAYMOND HABELOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 N BREVARD AVE, SUITE B, ARCADIA, FL 34266-4501
(863) 494-2293
(863) 494-1520
Mailing address
PO BOX 510310, PUNTA GORDA, FL 33951-0310
(863) 494-2293
(863) 494-1520

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0049217
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046638701
FL
01
1508029349
TYPE II NPI
FL
01
1881601946
NPI, TYPE I
FL
01
DN9810
RAILROAD MEDICARE PTAN
FL
Enumeration date
08/02/2006
Last updated
04/26/2026
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