Anthony, Charles R

Anthony, Charles R is an individual health care provider with primary practice located at 13063 Cortez Blvd , Brooksville FL 34613-4838. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Anthony, Charles R can be contacted via phone (352) 597-0016.

Contact Information

Primary practice address
13063 Cortez Blvd Brooksville FL 34613-4838
Phone: (352) 597-0016
Fax: (352) 597-8699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0042079 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0042079 Florida

Profile Details

NPI number 1609821958
LBN Legal business name Anthony, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Oct 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609821958 NPPES
Florida MEDICAID 069376600

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