Charles B. Mcintosh in Jacksonville - Adolescent Medicine
Charles B. Mcintosh - NPI 1336252444
Charles B. Mcintosh is a Adolescent Medicine in Jacksonville, Florida. Charles B. Mcintosh practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Charles B. Mcintosh is 1336252444. The last update date is 2007-07-08.
Charles B. Mcintosh's current location address is 3160 Edgewood Ave W, Jacksonville, Florida. You can contact this provider via phone number 9047655804 and fax number 9047650958. The mailing address for Charles B. Mcintosh is 3160 Edgewood Ave W, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles B. Mcintosh |
|---|---|
| Address | 3160 Edgewood Ave W, Jacksonville, Florida |
| Phone Number | 9047655804 |
| Fax Number | 9047650958 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336252444 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3160 Edgewood Ave W |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322092245 |
| Phone Number | 9047655804 |
| Fax Number | 9047650958 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 6612 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 932138002 | FL | CIGNA | |
| 13123 | FL | HEALTHEASE | |
| 1055089 | FL | HUMANA | |
| 16450 | FL | TRICARE | |
| 16450 | FL | BLUE CROSS /BLUE SHIELD | |
| 4047696 | FL | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Charles B. Mcintosh by the Centers for Medicare & Medicaid Services?
The Charles B. Mcintosh has been issued the NPI (National Provider Identifier) 1336252444. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Charles B. Mcintosh is physically located?
The Charles B. Mcintosh is situated at the following address: 3160 Edgewood Ave W, Jacksonville, FL 322092245.
What is Charles B. Mcintosh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles B. Mcintosh is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336252444 to Charles B. Mcintosh?
The Centers for Medicare & Medicaid Services assigned the 1336252444 to Charles B. Mcintosh on 2006-08-16.
As of what date was the information pertaining to Charles B. Mcintosh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles B. Mcintosh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.