Individual
DR. CHARLES DURWOOD DEVINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
336 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 689-2466
(813) 689-0435
Mailing address
336 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 689-2466
(813) 689-0435
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0072537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46240
BCBS ID
FL
Enumeration date
08/26/2005
Last updated
07/09/2007
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