Charles, Keith C

Charles, Keith C is an individual health care provider with primary practice located at 17560 Highway 441 , Mount Dora FL 32757-6711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Charles, Keith C can be contacted via phone (352) 735-2020.

Contact Information

Primary practice address
17560 Highway 441 Mount Dora FL 32757-6711
Phone: (352) 735-2020
Fax: (352) 735-3233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0069013 Florida

Profile Details

NPI number 1255334389
LBN Legal business name Charles, Keith C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 11th, 2009 - about 17 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 1255334389 NPPES
Florida Other 180031377 RAILROAD MEDICARE
Florida MEDICAID 378726500 RAILROAD MEDICARE

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