Provider Demographics
NPI:1053569269
Name:PAPPAS, CHARLES E (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:PAPPAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7076 VERDE WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-6514
Mailing Address - Country:US
Mailing Address - Phone:215-327-5553
Mailing Address - Fax:267-937-2487
Practice Address - Street 1:7076 VERDE WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-6514
Practice Address - Country:US
Practice Address - Phone:215-327-5553
Practice Address - Fax:267-937-2487
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114489208200000X
PAMD016058E208200000X
FLME 114489208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery