Individual
DR. MARY UNDERBERG CHARBONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
501 N NAVY BLVD, VISION CENTER, PENSACOLA, FL 32507-2011
(850) 426-1747
(850) 453-6617
Mailing address
501 N NAVY BLVD, VISION CENTER, PENSACOLA, FL 32507-2011
(850) 426-1747
(850) 453-6617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003499800
—
FL
Enumeration date
06/14/2006
Last updated
12/04/2015
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