Milton, Charles D

Milton, Charles D is an individual health care provider with primary practice located at 319 W Town Pl Suite 2 And 3, St Augustine FL 32092-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Milton, Charles D can be contacted via phone (904) 494-8253.

Contact Information

Primary practice address
319 W Town Pl Suite 2 And 3 St Augustine FL 32092-3101
Phone: (904) 494-8253
Fax: (904) 701-7576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME104759 Florida

Profile Details

NPI number 1811107253
LBN Legal business name Milton, Charles D
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Sep 11th, 2012 - about 12 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 1811107253 NPPES
Florida MEDICAID 002660100

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