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Individual

DR. SILAS J CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1430 S PINE ST, MELBOURNE, FL 32901-3119
(321) 952-0898
Mailing address
1815 VILLA ESPANA TRL, MELBOURNE, FL 32935-4623

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0036401
FL
2085R0001X
Radiation Oncology Physician
Primary
ME36401
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044802800
FL
Enumeration date
06/24/2005
Last updated
09/30/2010
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