Individual
DR. CHARLES ALLEN MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5149 N 9TH AVE, PENSACOLA, FL 32504-8779
(850) 416-6303
(850) 416-2487
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
93019
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME93019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272593200
—
FL
01
—
29722
BCBS
FL
Enumeration date
03/02/2006
Last updated
02/11/2016
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