Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | ME 39243 | FL |
N | 207VG0400X | Gynecologist | ME 39243 | FL |
NPI | 1174545479 |
---|---|
Provider Name | Dr. Charles I Stein |
First Address | Ormond Beach, FL 32173-0657 |
Second Address | Palm Coast, FL 32164-2452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 23/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D65465 | (02) | FL |