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Contact Information

CHARLES M GRUDEM, MD
3200 SW 34TH AVE
SUITE 502
OCALA, FL34474-7456
 Phone: 352-629-7011
 Fax: 352-629-7924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CHARLES M GRUDEM · (Male)

NPI Number 1093825150
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 06/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME 61060
  • Other 17875 BCBS
  • FL Other 720000084 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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