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1134187230
CHARLES EDWARD PHILLIPS
ORANGE PARK, FL
NPI
1134187230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME32937)
Enumeration Date
2006-05-01
Last Update Date
2010-01-20
Business Address
CHARLES EDWARD PHILLIPS MD
2035 PROFESSIONAL CTR DR STE C
ORANGE PARK, FL 32073
Phone number: 904-272-0384
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Mailing Address
CHARLES EDWARD PHILLIPS MD
2035 PROFESSIONAL CTR DR STE C
ORANGE PARK, FL 32073
Phone number: 904-272-0384
Copy
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