Bailey, Charles James

Bailey, Charles James is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bailey, Charles James can be contacted via phone (813) 571-9988.

Contact Information

Primary practice address
270 S Moon Ave Brandon FL 33511-5711
Phone: (813) 571-9988
Fax: (813) 571-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 002604 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME113143 Florida

Profile Details

NPI number 1265619365
LBN Legal business name Bailey, Charles James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Mar 31st, 2021 - about 4 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 1265619365 NPPES
Florida MEDICAID 012769800

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