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Charles R Habelow MD PA

Organization Active NPI Internal Medicine Physician · Arcadia, FL

NPI 1508029349 · NPPES record last updated Oct 22, 2010

Key facts

NPI
1508029349
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
ME49217 (FL)
Legal business name
CHARLES R HABELOW MD PA
Practice address
301 N Brevard Ave
Suite B
Arcadia, FL 34266-4501
Phone
(863) 494-2293
Fax
(863) 494-1520
NPI assigned
Jul 2, 2008
Organization subpart
No

Authorized official

Name
Dr. Charles R. Habelow, M.D.
Title
Owner/Physician
Phone
(863) 494-2293

National Provider Directory

Locations

301 N Brevard Ave
#B
Arcadia, FL 34266
Phone (863) 494-2293

95360 Overseas Hwy
Ste 4
Key Largo, FL 33037
Phone (305) 852-4717

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X ME49217 FL Yes

Addresses

Primary practice location

301 N Brevard Ave
Suite B
Arcadia, FL 34266-4501

Mailing address

PO Box 510310
Punta Gorda, FL 33951-0310
Phone (863) 494-2293

Other identifiers

IdentifierTypeStateIssuer
DN9810OtherFLRAILROAD MEDICARE B PTAN
046638701MedicaidFL
1881601946OtherFLNPI, TYPE I
1508029349OtherFLNPI , TYPE II

Other names

  • Bayside Medical Doing business as

Other providers in Arcadia, FL

All providers in Arcadia, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.