Organization
CHARLES RICHARD UNDERWOOD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE E STAFFORD (MANAGER)
(239) 514-7734
Entity
Organization
Contact information
Practice address
400 8TH ST N, NAPLES, FL 34102-5519
(239) 595-6687
Mailing address
400 8TH ST N, NAPLES, FL 34102-5519
(239) 595-6687
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME38081
FL
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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