Charles, Alix
Charles, Alix is an sole proprietor health care provider with primary practice located at 810 S State Road 7 , Plantation FL 33317-4551. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Charles, Alix can be contacted via phone (954) 766-4384.Contact Information
Primary practice address
810 S State Road 7
Plantation FL 33317-4551
Phone: (954) 766-4384
Fax: (954) 703-4515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO3379 | Florida |
Profile Details
NPI number | 1023114600 |
---|---|
LBN Legal business name | Charles, Alix |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 15th, 2006 |
Last updated | Sep 11th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023114600 | NPPES |
Florida | MEDICAID | 000968200 |
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