Individual
DR. CHARLES ALAN BEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3033 WINKLER AVENUE EXT, FORT MYERS, FL 33916-9413
(239) 939-3939
Mailing address
2851 DEBORAH DR, PUNTA GORDA, FL 33950-8131
(941) 575-2829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16320
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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