Mackett, Charles W

Mackett, Charles W is an individual health care provider with primary practice located at 1400 27Th St , Vero Beach FL 32960-0303. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mackett, Charles W can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
1400 27Th St Vero Beach FL 32960-0303
Phone: (772) 257-8224
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD425999 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME107676 Florida

Profile Details

NPI number 1366416232
LBN Legal business name Mackett, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 16th, 2024 - about 8 months 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 1366416232 NPPES
Florida Other ME107676 MEDICAL LICENSE
Florida MEDICAID 101235908 MEDICAL LICENSE

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