Individual
DR. CHARLES JAMES MATUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3618 LANTANA RD, STE 100, LAKE WORTH, FL 33462-2246
(561) 296-1188
(561) 969-2384
Mailing address
3618 LANTANA ROAD, SUITE 100, LAKE WORTH, FL 33462
(561) 296-1188
(561) 969-6920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME31583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066204600
—
FL
Enumeration date
09/14/2006
Last updated
02/18/2013
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