Individual
CHARLES MICHAEL FISCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 37TH PL FL 2, VERO BEACH, FL 32960-4508
(772) 794-2222
(772) 794-0045
Mailing address
PO BOX 38, VERO BEACH, FL 32961-0038
(772) 539-1775
(772) 569-5058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME25700
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
ME25700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065438800
—
FL
Enumeration date
11/22/2005
Last updated
06/29/2020
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