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Individual

MR. CHARLES N EKINDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(786) 467-2159
(786) 533-9703
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 467-2159

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059633
GA
208M00000X
Hospitalist Physician
Primary
ME87673
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511I110352
MEDICARE
GA
05
635315149A
GA
Enumeration date
09/07/2005
Last updated
07/20/2022
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