Homolka, Charles

Homolka, Charles is an individual health care provider with primary practice located at 12511 World Plaza Ln Bldg 50 , Fort Myers FL 33907-3991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Homolka, Charles can be contacted via phone (239) 939-2622.

Contact Information

Primary practice address
12511 World Plaza Ln Bldg 50 Fort Myers FL 33907-3991
Phone: (239) 939-2622
Fax: (239) 939-0151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME70760 Florida

Profile Details

NPI number 1114907664
LBN Legal business name Homolka, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Mar 1st, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114907664 NPPES
Florida Other 32297 BC/BS FL
Florida Other 222990 BC/BS FL
Florida MEDICAID 252581000 BC/BS FL
Florida Other 050046654 BC/BS FL

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