Individual
DR. CHARLES NATHAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
Mailing address
1475 W 49TH ST, HIALEAH, FL 33012-3222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO6800
FL
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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