Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | OS0007183 | FL |
NPI | 1225004963 |
---|---|
Provider Name | Dr. Charles S Huang |
First Address | Lakeland, FL 33813-3310 |
Second Address | Lakeland, FL 33813-3310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 12/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G34811 | (02) | FL |