Individual
CHARLES A SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7455 S US HIGHWAY 1, TITUSVILLE, FL 32780-8115
(321) 264-2100
(321) 264-2485
Mailing address
7455 S US HIGHWAY 1, TITUSVILLE, FL 32780-8115
(321) 264-2100
(321) 264-2485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0051997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04843
BLUE SHIELD
FL
05
—
062108100
—
FL
01
—
110165605
RAILROAD MEDICARE
FL
01
—
ME0051997
MEDICAL LICENSE
FL
Enumeration date
06/06/2007
Last updated
03/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us