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Organization

ANCHORS AWAY MEDICAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES J. KILO M.D. (OWNER)
(239) 594-5456
Entity
Organization

Contact information

Practice address
1495 PINE RIDGE RD., SUITE 4, NAPLES, FL 34109
(239) 594-5456
(239) 592-5456
Mailing address
1495 PINE RIDGE RD., SUITE 4, NAPLES, FL 34109
(239) 594-5456
(239) 592-5456

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85812
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251-031-600
FL
Enumeration date
04/05/2011
Last updated
04/05/2011
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