Provider Demographics
NPI:1134101298
Name:ABRAHAMSEN, CHARLES ERNST (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:ERNST
Last Name:ABRAHAMSEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10000 BAY PINES BLVD. (SURGICAL SERVICES 112)
Mailing Address - Street 2:BAY PINES VAHCS
Mailing Address - City:BAY PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33744
Mailing Address - Country:US
Mailing Address - Phone:727-398-6661
Mailing Address - Fax:727-319-1332
Practice Address - Street 1:10000 BAY PINES BLVD. BLDG 100, RM 1E-203
Practice Address - Street 2:BAY PINES VAHCS
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:727-319-1332
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2021-08-17
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Provider Licenses
StateLicense IDTaxonomies
FLME45736207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery