Charles M Gremillion JR. MD

NPI 1871572164 - Ophthalmology - 207W00000X

NPI Details
NPI 1871572164
Gender Male
Enumeration Date 01/13/2006
Last Updated 05/09/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2400 S MCCALL RD
SUITE A
ENGLEWOOD FL, 34224-5137, US
Phone (941) 460-9159
Fax (941) 460-9419
Business Location
2400 S MCCALL RD
SUITE A
ENGLEWOOD FL, 34224-5137, US
Phone (941) 460-9159
Fax (941) 460-9419
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number 57634
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According to our database, Dr. Charles M Gremillion JR. MD NPI is 1871572164, taxonomy code is 207W00000X and license number is 57634, license state is located at Florida. Charles M Gremillion JR. MD physically located at 2400 S Mccall Rd, Englewood FL, 34224-5137. NPI Number Charles M Gremillion JR. MD has the Individual type.

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1871572164 NPI number is provided on an as is basis without warranty of any kind. 1871572164 is maintained by the National Plan & Provider Enumeration System. The contents of Charles M Gremillion JR. MD are for informational purposes only.