| Obed Charles, | |
|
542 Westchester Ct, Davenport, FL 33837-4612 | |
| (140) 771-5272 | |
| Not Available |
| Full Name | Obed Charles |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 542 Westchester Ct, Davenport, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548945868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11025662 (Florida) | Primary |
| Entity Name | Wound Technology Network, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Obed Charles, 542 Westchester Ct, Davenport, FL 33837-4612 Ph: (407) 715-2724 | Obed Charles, 542 Westchester Ct, Davenport, FL 33837-4612 Ph: (140) 771-5272 |
Briana Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 |
Mariana Beatriz Gonzalez, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5496 Meadow Walk Dr, Davenport, FL 33837 Phone: 407-528-6682 |
Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466 |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 |
Alysha N Petroff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40215 Highway 27, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779 |
Mrs. Chrisja Marie Ramos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1085 Mountain Flower Ln, Davenport, FL 33837 Phone: 407-757-9966 |