CHARLES CAMPOSANO

ORMOND BEACH, FL
NPI1497291298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110117)
Enumeration Date2017-01-17
Last Update Date2017-01-17
Business Address
-- CHARLES CAMPOSANO
325 CLYDE MORRIS BLVD #340
ORMOND BEACH, FL 32174-8178
Phone number: 386-615-8971
Mailing Address
-- CHARLES CAMPOSANO
325 CLYDE MORRIS BLVD SUITE 340
ORMOND BEACH, FL 32174-8178
Phone number:
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