Charneco, Dale Rafael
Charneco, Dale Rafael is an individual health care provider with primary practice located at 2055 Professional Center Dr , Orange Park FL 32073-4461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Charneco, Dale Rafael can be contacted via phone (904) 276-4500.Contact Information
Primary practice address
2055 Professional Center Dr
Orange Park FL 32073-4461
Phone: (904) 276-4500
Fax: (904) 276-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME15741 | Florida |
Profile Details
| NPI number | 1740281781 |
|---|---|
| LBN Legal business name | Charneco, Dale Rafael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Jan 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740281781 | NPPES |
| Florida | Other | 16812Y | BCBS |
| Florida | Other | P00121400 | BCBS |
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