Charles Alexander Prentice, MD

NPI #1134124951 in Inverness, Florida

Provider Information

NPI Number: 1134124951
Entity Type: Individual
Name: Charles Alexander Prentice, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jun 17, 2005
Last Updated: Feb 9, 2012

Practice Location

Address: 214 S PINE AVE
City: Inverness
State: Florida
ZIP Code: 34452-4838
Phone: (352) 726-9006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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