Florence, Charles B

Florence, Charles B is an individual health care provider with primary practice located at 315 E Broadway Suite 195, Louisville KY 40202-3700. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Florence, Charles B can be contacted via phone (502) 629-4263.

Contact Information

Primary practice address
315 E Broadway Suite 195 Louisville KY 40202-3700
Phone: (502) 629-4263
Fax: (502) 629-4282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1092268 Kentucky
Nursing Service Providers / Registered Nurse 163W00000X 28156953A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4190P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004190 Kentucky

Profile Details

NPI number 1346234259
LBN Legal business name Florence, Charles B
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Sep 17th, 2021 - about 5 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 1346234259 NPPES
Kentucky MEDICAID 78017803
Kentucky Other 162148
Kentucky Other 000000883797
Kentucky Other 50076093

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