Stoneburner, Charles Gresham Rose

Stoneburner, Charles Gresham Rose is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Stoneburner, Charles Gresham Rose can be contacted via phone (386) 917-5526.

Contact Information

Primary practice address
1055 Saxon Blvd Orange City FL 32763-8468
Phone: (386) 917-5526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X S0099 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 57448 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME120997 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME120997 Florida

Profile Details

NPI number 1609210129
LBN Legal business name Stoneburner, Charles Gresham Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2013
Last updated Nov 26th, 2023 - about 2 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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