CHARLES ROBERT BLACKWELL

STUART, FL
NPI1508203225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125074845)
Additional Taxonomies208D00000X General Practice
(Licence: PA  OS017238)
Enumeration Date2013-06-04
Last Update Date2022-06-08
Business Address
Dr. CHARLES ROBERT BLACKWELL D.O.
200 SE HOSPITAL AVE
STUART, FL 34994-2346
Phone number: 772-287-5299
Mailing Address
Dr. CHARLES ROBERT BLACKWELL D.O.
5395 LONDON GROVEPORT RD
ORIENT, OH 43146-9220
Phone number: