Augustus, Charles Anderson

Augustus, Charles Anderson is an sole proprietor health care provider with primary practice located at 950 N Krome Ave Ste 403 , Homestead FL 33030-4443. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Augustus, Charles Anderson can be contacted via phone (305) 245-1611.

Contact Information

Primary practice address
950 N Krome Ave Ste 403 Homestead FL 33030-4443
Phone: (305) 245-1611
Fax: (305) 245-8898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 42610 Florida

Profile Details

NPI number 1184680381
LBN Legal business name Augustus, Charles Anderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Jul 29th, 2014 - about 11 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 1184680381 NPPES
Florida MEDICAID 054130300

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