Charles J. Favela

NPI #1528257938 in Key West, Florida

Provider Information

NPI Number: 1528257938
Entity Type: Individual
Name: Charles J. Favela
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Oct 22, 2007
Last Updated: Oct 22, 2007

Practice Location

Address: 100 TRUMBO POINT
City: Key West
State: Florida
ZIP Code: 33040-6695
Phone: (305) 292-8883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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