Abbott, Charles

Abbott, Charles is an sole proprietor health care provider with primary practice located at 936 Intracoastal Dr Apt 9B , Fort Lauderdale FL 33304-3632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Abbott, Charles can be contacted via phone (413) 822-8682.

Contact Information

Primary practice address
936 Intracoastal Dr Apt 9B Fort Lauderdale FL 33304-3632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 212898 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 212898 Massachusetts

Profile Details

NPI number 1730120049
LBN Legal business name Abbott, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Aug 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730120049 NPPES
Massachusetts Other J28682 MASS BS/BS
Massachusetts MEDICAID 2103389 MASS BS/BS

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