CHARLES POWELL

DAYTONA BEACH, FL
NPI1295100717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-12-09
Last Update Date2021-04-08
Business Address
CHARLES POWELL
545 HEALTH BLVD
DAYTONA BEACH, FL 32114-1493
Phone number: 386-239-8500
Mailing Address
CHARLES POWELL
12109 COUNTY ROAD 103
OXFORD, FL 34484-2951
Phone number: 352-205-8981
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