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General NPI Number Information
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NPI Number | 1427040062
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Entity Type | Individual
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Provider Name | CHARLES M DEMPSEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 3901 UNIVERSITY BLVD S SUITE 103
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4312
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Country | US
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Telephone | 904-345-7373
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Fax | 904-345-7372
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Provider Business Mailing Address
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Address Line | 3599 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4252
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Country | US
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Telephone | 904-345-7776
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Fax | 904-345-7772
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME82485
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License Number State | FL
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