| Charles W Kent, M.d. Inc. | |
|
3301 Thomasville Rd Suite 102 Tallahassee FL 32308-7946 | |
| (850) 391-9622 | |
| Not Available |
| Full Name | Charles W Kent, M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 Thomasville Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Charles W Kent (PRESIDENT) |
| Authorized Official Contact | 8504597879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Kent, M.d. Inc. 4779 Lancashure Ln Tallahassee FL 32309-2963 Ph: () - | Charles W Kent, M.d. Inc. 3301 Thomasville Rd Suite 102 Tallahassee FL 32308-7946 Ph: (850) 391-9622 |
| NPI Number | 1184062853 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 09/08/2013 |
| Medicare PECOS PAC ID | 4688060437 |
|---|---|
| Medicare Enrollment ID | O20220405001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184062853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME40570 (Florida) | Primary |
| Provider Name | Charles W Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205891850 PECOS PAC ID: 3577586874 Enrollment ID: I20090108000264 |
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