Individual
MR. CHARLES B. MAGICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3001 CORAL SPRINGS DRIVE, STE 200, CORAL SPRINGS, FL 33065-4172
(954) 837-1201
(954) 752-1660
Mailing address
PO BOX 64795, BALTIMORE, MD 21264-4795
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002490
FL
367500000X
Certified Registered Nurse Anesthetist
R108865
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104763500
—
FL
05
—
213307500
—
MD
Enumeration date
08/07/2006
Last updated
03/25/2022
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