CHARLES TADASHI UPDEGROVE

ORLANDO, FL
NPI1376195685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  TRN29508)
Enumeration Date2019-07-16
Last Update Date2019-07-16
Business Address
CHARLES TADASHI UPDEGROVE MD
1414 KUHL AVE # MP31
ORLANDO, FL 32806-2008
Phone number: 407-841-5133
Mailing Address
CHARLES TADASHI UPDEGROVE MD
1414 KUHL AVE # MP31
ORLANDO, FL 32806-2008
Phone number: 407-841-5133
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