Organization
CHARLES DEVINE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DEVINE M.D. (PRESIDENT)
(813) 689-2466
Entity
Organization
Contact information
Practice address
336 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 689-2466
(813) 689-0435
Mailing address
336 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 689-2466
(813) 689-0435
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0072537
FL
Other
Enumeration date
11/10/2010
Last updated
05/03/2011
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