Houston, Charles Stephen

Houston, Charles Stephen is an individual health care provider with primary practice located at 801 E Dixie Ave Suite 104, Leesburg FL 34748-7601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI). Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Houston, Charles Stephen can be contacted via phone (352) 365-2583.

Contact Information

Primary practice address
801 E Dixie Ave Suite 104 Leesburg FL 34748-7601
Phone: (352) 365-2583
Fax: (352) 728-6749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME88925 Florida
Allopathic & Osteopathic Physicians / Magnetic Resonance Imaging (MRI) 207RM1200X 88925 Florida

Profile Details

NPI number 1841249869
LBN Legal business name Houston, Charles Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 24th, 2016 - about 8 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 1841249869 NPPES
Florida Other P00062529 RR MEDICARE LMIV
Florida Other P00061039 RR MEDICARE LMIV
Florida MEDICAID 273790600 RR MEDICARE LMIV

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