Individual
CHARLES LOUIS ROUAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 N STATE ROAD 7, LAUDERHILL, FL 33313-5006
(954) 735-9600
(954) 735-2839
Mailing address
1120 NW 14TH ST, 1405, MIAMI, FL 33136-2107
(305) 246-6305
(305) 243-1624
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME39887
FL
Other
Enumeration date
01/30/2007
Last updated
01/06/2012
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