person
Charles Tadashi Updegrove, MD
Student in an Organized Health Care Education/Training Program in Orlando, Florida
NPI 1376195685

Charles Tadashi Updegrove is a Student in an Organized Health Care Education/Training Program based in Orlando, FL. Charles Tadashi Updegrove practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Charles Tadashi Updegrove is 1376195685 and holds a License No. TRN29508 (Florida).

The current practice location address for Charles Tadashi Updegrove is 1414 Kuhl Ave # Mp31, Orlando, FL and can be reached out via phone at 407-841-5133 and via fax at 407-237-6313.

Location: 1414 Kuhl Ave # Mp31, Orlando, FL, 32806-2008
person
Provider Profile Details
NPI Number
1376195685
Provider Name
Charles Tadashi Updegrove
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1414 Kuhl Ave # Mp31, Orlando, FL, 32806-2008
Phone Number
407-841-5133
Fax Number
407-237-6313
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1414 Kuhl Ave # Mp31
City
State
Zip
32806-2008
Phone Number
407-841-5133
Fax Number
407-237-6313
person
Provider Business Mailing Address Details
Address
1414 Kuhl Ave # Mp31
City
State
Zip
32806-2008
Phone Number
407-841-5133
Fax Number
407-237-6313
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
TRN29508 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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