Provider Demographics
NPI:1588625644
Name:OKOMSKI, CHARLENE (DO)
Entity type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:
Last Name:OKOMSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CHARLENE
Other - Middle Name:
Other - Last Name:OKOMSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:410 CELEBRATION PL STE 208
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5434
Mailing Address - Country:US
Mailing Address - Phone:877-800-0239
Mailing Address - Fax:407-566-2499
Practice Address - Street 1:410 CELEBRATION PL STE 208
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5434
Practice Address - Country:US
Practice Address - Phone:877-800-0239
Practice Address - Fax:407-566-2499
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7415207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLX59148Medicare UPIN