Maliska, Charles Miles

Maliska, Charles Miles is an individual health care provider with primary practice located at 2402 Frist Blvd Ste 204 , Fort Pierce FL 34950-4838. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Maliska, Charles Miles can be contacted via phone (772) 462-3939.

Contact Information

Primary practice address
2402 Frist Blvd Ste 204 Fort Pierce FL 34950-4838
Phone: (772) 462-3939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27745 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X A99319 California
Allopathic & Osteopathic Physicians / Surgery 208600000X R2163 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 303595 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X R2163 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 27745 Oklahoma
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 303595 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A99319 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 27745 Oklahoma
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 303595 New York
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X R2163 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X A99319 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME150816 Florida

Profile Details

NPI number 1053467894
LBN Legal business name Maliska, Charles Miles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 7th, 2021 - about 4 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 1053467894 NPPES
Oklahoma MEDICAID 200330440A

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