Individual
DR. CHARLES MICHAEL DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450077 STATE ROAD 200 STE 12, UFJP CALLAHAN FAMILY PRACTICE, CALLAHAN, FL 32011-3863
(904) 633-0560
(904) 633-0561
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME42634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000760999A
—
GA
05
—
0403393-00
—
FL
Enumeration date
03/03/2006
Last updated
04/22/2009
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