Individual
DR. CHARLES A STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 SW 160TH AVE, SUITE #250, MIRAMAR, FL 33027-6308
(305) 866-9951
(877) 284-8933
Mailing address
PO BOX 428, KNOX, IN 46534-0428
(574) 772-1270
(574) 772-7188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058806A
IN
208600000X
Surgery Physician
01058806
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531495
ANTHEM
IN
05
—
200471390
—
IN
Enumeration date
09/01/2005
Last updated
03/02/2011
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