Individual
CHARLES INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(156) 173-7773
Mailing address
19444 SATURNIA LAKES DR, BOCA RATON, FL 33498-6206
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
71588
CT
207P00000X
Emergency Medicine Physician
Primary
ME169749
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME169749
FL
Other
Enumeration date
06/30/2019
Last updated
07/23/2024
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