Doctor Name: | JEAN MAX SAINT CHARLES |
NPI Number: | 1629466727 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 18979 |
Business Practice Address: | 1728 Shoreside Cir West Palm Beach, FL - 33414 |
Business Phone Number: | 9547935829 |
Business Fax Number: | |
Mailing Address: | 1728 Shoreside Cir, WELLINGTON |
State: | FL |
Postal Code: | 334148067 |
Phone Number: | 9547935829 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2014 |
NPI Last Update Date: | 12/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |