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NPI Code Detail

MEDICARE: CHARLES L BATSON PA-FAMILY

MEDICARE: CHARLES L BATSON PA-FAMILY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME46662FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1621985OTHERFLAETNA
259981OTHERFLBCBS

General Provider Information

NPI Number : 1295824431
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLES L BATSON PA-FAMILY
Provider Business Mailing Address
First Line : PO BOX 915257
Second Line :
City : LONGWOOD
State : FL
Zip : 32791-5257
Country : US
Telephone Number : 407-331-7010
Fax Number : 407-331-8071
Provider Business Practice Location Address
First Line : 450 W SR 434
Second Line : #2010
City : LONGWOOD
State : FL
Zip : 32750-5187
Country : US
Telephone Number : 407-331-7010
Fax Number : 407-331-8071
Authorized Official
Title or Position : PHYSICIAN
Name : DR. CHARLES LEE BATSON
Credential : MD
Telephone Number : 407-621-1056
Provider Enumeration Date : 10/12/2006
Last Update Date : 11/21/2014

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