| Charles E Broadway, Dmd, Pa | |
|
1141 S Eustis St Eustis FL 32726-5558 | |
| (352) 589-2099 | |
| (352) 589-6046 |
| Full Name | Charles E Broadway, Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1141 S Eustis St, Eustis, Florida |
| Authorized Official Name and Position | Charles Estes Broadway (DENTIST/OWNER) |
| Authorized Official Contact | 3525892099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Broadway, Dmd, Pa 1141 S Eustis St Eustis FL 32726-5558 Ph: (352) 589-2099 | Charles E Broadway, Dmd, Pa 1141 S Eustis St Eustis FL 32726-5558 Ph: (352) 589-2099 |
| NPI Number | 1740367879 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740367879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN8829 (Florida) | Primary |
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