Individual
CHARLES MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4675 LINTON BLVD., DELRAY BEACH, FL 33445
(561) 499-9585
Mailing address
P O 850001 DEPT 991, ORLANDO, FL 32885-0991
(800) 248-1639
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME70514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250034500
—
FL
Enumeration date
09/21/2006
Last updated
09/27/2013
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