CHARLES L CORNETT

SANFORD, FL
NPI1831191667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA2490)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
Mr. CHARLES L CORNETT PA-C
2400 STATE ROAD 415
SANFORD, FL 32771
Phone number: 407-322-8645
Mailing Address
Mr. CHARLES L CORNETT PA-C
266 BRASSINGTON DR
DEBARY, FL 32713-2139
Phone number: 386-775-4063