Individual
MR. CHARLES MORRIS CRIBBS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10210 WINDHORST RD, TAMPA, FL 33619-7828
(352) 362-4602
Mailing address
502 S FREMONT AVE APT 433, TAMPA, FL 33606-4300
(352) 362-4602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA91142756
FL
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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