Individual
SEBASTIEN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9330 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 834-4000
Mailing address
1071 ALABAMA AVE, FORT LAUDERDALE, FL 33312-7329
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA140
FL
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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