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General NPI Number Information
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NPI Number | 1205829215
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Entity Type | Individual
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Provider Name | CHARLES STINSON DO
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 116 1ST ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3305
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Country | US
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Telephone | 727-895-5210
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Fax | 727-821-4297
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Provider Business Mailing Address
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Address Line | 2995 DREW ST FL 2
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-532-1355
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Fax | 813-635-2613
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8270
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License Number State | FL
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