Individual
MR. CHARLES R EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.L.O
Contact information
Practice address
415 COREY AVE, ST PETE BEACH, FL 33706-1901
(727) 360-2511
Mailing address
415 COREY AVE, ST PETE BEACH, FL 33706-1901
(727) 360-2511
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1944
FL
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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