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NPI Code Detail

MEDICARE: CHARLTON EDWIN BELL

MEDICARE:   CHARLTON EDWIN BELL
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
1311ZA0620XAdult Care Home Facility6906529FL

General Provider Information

NPI Number : 1477812584
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLTON EDWIN BELL
Provider Business Mailing Address
First Line : 7306 MAPLE TREE DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2806
Country : US
Telephone Number : 904-619-8730
Fax Number : 904-619-8730
Provider Business Practice Location Address
First Line : 7306 MAPLE TREE DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2806
Country : US
Telephone Number : 904-619-8730
Fax Number : 904-619-8730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 05/09/2012

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Directions to “ CHARLTON EDWIN BELL ” Practice Location

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