Charles, Silas J

Charles, Silas J is an individual health care provider with primary practice located at 1430 S Pine St , Melbourne FL 32901-3119. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Charles, Silas J can be contacted via phone (321) 952-0898.

Contact Information

Primary practice address
1430 S Pine St Melbourne FL 32901-3119
Phone: (321) 952-0898
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0036401 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME36401 Florida

Profile Details

NPI number 1508862491
LBN Legal business name Charles, Silas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 30th, 2010 - about 14 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 1508862491 NPPES
Florida MEDICAID 044802800

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