Dr CHARLES F BOELTER is a male medical professional, specializing in Physician Assistant. He graduated in 2005.
INTENSIVE CARE CONSORTIUM INC
3625 UNIV BLVD S
JACKSONVILLE
FL
322164207
Tel: 5619970821
| Npi | 1295931897 |
| Pac Id | 1052506359 |
| Professional Enrollment Id | I20101112000128 |
| Last Name | BOELTER |
| First Name | CHARLES |
| Middle Name | F |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Group Practice Pac Id | 0244269413 |
| Number Of Group Practice Members | 215 |
| Line 1 Street Address | 3625 UNIV BLVD S |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 322164207 |
| Phone Number | 5619970821 |
| Hospital Affiliation Ccn 1 | 100179 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL JACKSONVILLE |
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| Professional Accepts Medicare Assignment | Y |
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