Individual
JEAN MAX SAINT CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5800
(954) 730-7284
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ACN836
FL
208D00000X
General Practice Physician
18979
PR
208D00000X
General Practice Physician
Primary
ACN836
FL
Other
Enumeration date
12/26/2014
Last updated
11/12/2020
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