Maddix, Charles B
Maddix, Charles B is an sole proprietor health care provider with primary practice located at 3547 Hendricks Ave , Jacksonville FL 32207-5309. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Ambulatory Health Care Facilities / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Maddix, Charles B can be contacted via phone (904) 877-1100.Contact Information
Primary practice address
3547 Hendricks Ave
Jacksonville FL 32207-5309
Phone: (904) 877-1100
Fax: (904) 877-1200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | APRN9173113 | Florida |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | APRN9173113 | Florida |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | APRN9173113 | Florida |
Ambulatory Health Care Facilities / Health Service | 261QH0100X | APRN9173113 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN9173113 | Florida |
Profile Details
NPI number | 1790047926 |
---|---|
LBN Legal business name | Maddix, Charles B |
Credentials | APRN, MSN, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2012 |
Last updated | Apr 18th, 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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