Organization
FLORIDA RADIOLOGY SPECIALISTS, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH T CHARLES MD (PARTNER)
(561) 736-1200
Entity
Organization
Contact information
Practice address
3301 EVENTIDE PL, STUART, FL 34994-9143
(561) 736-1200
(561) 742-1919
Mailing address
200 KNUTH RD, STE 200, BOYNTON BEACH, FL 33436-4693
(561) 736-1200
(561) 742-1919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001LK
BCBS OF FLORIDA
FL
05
—
0026694-00
—
FL
01
—
DQ7718
RAILROAD MEDICARE
FL
Enumeration date
09/17/2009
Last updated
07/12/2011
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