Slattery, Charles A

Slattery, Charles A is an individual health care provider with primary practice located at 7455 S Us Highway 1 , Titusville FL 32780-8115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Slattery, Charles A can be contacted via phone (321) 264-2100.

Contact Information

Primary practice address
7455 S Us Highway 1 Titusville FL 32780-8115
Phone: (321) 264-2100
Fax: (321) 264-2485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0051997 Florida

Profile Details

NPI number 1821291048
LBN Legal business name Slattery, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Mar 12th, 2020 - 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 1821291048 NPPES
Florida Other 04843 BLUE SHIELD
Florida MEDICAID 062108100 BLUE SHIELD
Florida Other ME0051997 BLUE SHIELD
Florida Other 110165605 BLUE SHIELD

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