Charles M Callahan
Infectious Disease
2780 Cleveland Ave Ste 809
Fort Myers
, Florida 33901-5817
Charles M Callahan
Infectious Disease
2780 Cleveland Ave Ste 809
Fort Myers
, Florida 33901-5817
(239) 343-4178
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Charles M Callahan
- Po Box 2147
- Fort Myers, FL
- Zip : 33902-2147
- Fax : (239) 343-4178
- Phone : (239) 343-9680
Second Address
- Charles M Callahan
- 2780 Cleveland Ave Ste 809
- Fort Myers, FL
- Zip : 33901-5817
- Fax : (239) 343-4178
- Phone : (239) 343-9680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | ME68793 | FL |
National Provider Identifier
| NPI | 1023095510 |
|---|---|
| Provider Name | Charles M Callahan |
| First Address | Fort Myers, FL 33902-2147 |
| Second Address | Fort Myers, FL 33901-5817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2005 |
| Last Update Date | 12/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 060064707 | RAILROAD (01) | FL |
| 281231200 | (05) | FL |
| G46486 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.