Individual
DR. CHARLES ANDERSON AUGUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 N KROME AVE STE 403, HOMESTEAD, FL 33030-4443
(305) 245-1611
(305) 245-8898
Mailing address
950 N KROME AVE STE 403, HOMESTEAD, FL 33030-4443
(305) 245-1611
(305) 245-8898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 42610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054130300
—
FL
Enumeration date
04/25/2006
Last updated
07/29/2014
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