Individual
CHARLES B. SLONIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME39639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1772596009
CIGNA
FL
01
—
180018138
RAILROAD MEDICARE
FL
05
—
274163600
—
FL
01
—
30465
BCBS INDIVIDUAL #
FL
01
—
656397
AETNA
FL
01
—
ME0039639
STATE LICENSE #
FL
Enumeration date
01/09/2006
Last updated
03/07/2012
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