Individual
DR. CHARLES ISIDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18921 NW 2ND AVE STE B, MIAMI, FL 33169-4008
(305) 917-7463
Mailing address
18921 NW 2ND AVE STE B, MIAMI, FL 33169-4008
(305) 917-7463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 008393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88728
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/06/2006
Last updated
07/08/2007
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