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Contact Information

DALE R CHARNECO
2055 PROFESSIONAL CENTER DR
ORANGE PARK, FL32073-4461
 Phone: 904-276-4500
 Fax: 904-276-4160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DALE R CHARNECO · (Male)

NPI Number 1740281781
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2005
Last updated 01/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME15741
  • FL Other 16812Y BCBS
  • FL Other P00121400 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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