Flack, Charles Edward

Flack, Charles Edward is an sole proprietor health care provider with primary practice located at 10301 Hagen Ranch Rd Suite C130, Boynton Beach FL 33437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Flack, Charles Edward can be contacted via phone (561) 736-7313.

Contact Information

Primary practice address
10301 Hagen Ranch Rd Suite C130 Boynton Beach FL 33437
Phone: (561) 736-7313
Fax: (561) 736-2309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X ME59937 Florida
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X TP103 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 0101273176 Virginia

Profile Details

NPI number 1497729727
LBN Legal business name Flack, Charles Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Sep 12th, 2022 - about 3 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 1497729727 NPPES
Florida Other 204200 AMERIGROUP
Florida Other 5962 AMERIGROUP
Florida MEDICAID 054273300 AMERIGROUP
Florida Other 103690 AMERIGROUP
Florida Other 12475 AMERIGROUP
Florida Other 1755943 AMERIGROUP
Florida Other 26943 AMERIGROUP
Florida Other 4611456 AMERIGROUP
Florida Other 2032607 AMERIGROUP
Florida Other 26943 AMERIGROUP

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