Provider Demographics
NPI:1952370686
Name:TURNIER, CHARLES GASTON (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:GASTON
Last Name:TURNIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-9722
Mailing Address - Fax:239-343-9725
Practice Address - Street 1:4761 S. CLEVELAND AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:239-343-9722
Practice Address - Fax:239-343-9725
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06817800174400000X
FLME88605207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8356505Medicaid
FL000260500Medicaid
NJ043563MESMedicare ID - Type Unspecified