Individual
DR. CHARLES MILES MALISKA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 FRIST BLVD STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
Mailing address
2402 FRIST BLVD STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27745
OK
208600000X
Surgery Physician
303595
NY
208600000X
Surgery Physician
A99319
CA
208600000X
Surgery Physician
R2163
TX
2086S0102X
Surgical Critical Care Physician
27745
OK
2086S0102X
Surgical Critical Care Physician
303595
NY
2086S0102X
Surgical Critical Care Physician
A99319
CA
2086S0102X
Surgical Critical Care Physician
Primary
ME150816
FL
2086S0102X
Surgical Critical Care Physician
R2163
TX
2086S0127X
Trauma Surgery Physician
27745
OK
2086S0127X
Trauma Surgery Physician
303595
NY
2086S0127X
Trauma Surgery Physician
A99319
CA
2086S0127X
Trauma Surgery Physician
R2163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200330440A
—
OK
Enumeration date
01/26/2007
Last updated
06/07/2021
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