Healthcare Provider Details

I. General information

NPI: 1073705265
Provider Name (Legal Business Name): CHARLES APLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 NW 36TH TER
GAINESVILLE FL
32605-2633
US

IV. Provider business mailing address

2415 NW 36TH TER
GAINESVILLE FL
32605-2633
US

V. Phone/Fax

Practice location:
  • Phone: 352-380-0786
  • Fax:
Mailing address:
  • Phone: 352-380-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2801682
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number163WH0200X
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberRN 2801682
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberRN 2801682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: