Charles Edward Flack in Sunrise - Pediatric Urology
Charles Edward Flack - NPI 1497729727
Charles Edward Flack is a Pediatric Urology in Sunrise, Florida. Charles Edward Flack practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Charles Edward Flack is 1497729727. The last update date is 2022-09-12.
Charles Edward Flack's current location address is 1300 Sawgrass Corporate Pkwy Ste 200, Sunrise, Florida. You can contact this provider via phone number 8002433839 and fax number 8555275510. The mailing address for Charles Edward Flack is 1300 Sawgrass Corporate Pkwy Ste 200, Sunrise, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Edward Flack |
|---|---|
| Address | 1300 Sawgrass Corporate Pkwy Ste 200, Sunrise, Florida |
| Phone Number | 8002433839 |
| Fax Number | 8555275510 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497729727 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2022-09-12 |
Provider Mailing Address Detail
| Address | 1300 Sawgrass Corporate Pkwy Ste 200 |
|---|---|
| City | Sunrise |
| State | Florida (FL) |
| Post Code | 333232823 |
| Phone Number | 8002433839 |
| Fax Number | 8555275510 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
| Licence No | ME59937 |
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Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204200 | FL | AMERIGROUP | |
| 5962 | FL | NHP | |
| 54273300 | FL | -- | |
| 103690 | FL | AVMED | |
| 12475 | FL | BCBS | |
| 1755943 | FL | CIGNA | |
| 26943 | FL | STAYWELL | |
| 4611456 | FL | AETNA NON-HMO | |
| 2032607 | FL | AETNA HMO | |
| 26943 | FL | WELLCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Edward Flack by the Centers for Medicare & Medicaid Services?
The Charles Edward Flack has been issued the NPI (National Provider Identifier) 1497729727, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Edward Flack?
The Charles Edward Flack is situated at 1300 Sawgrass Corporate Pkwy Ste 200, in the city of Sunrise, state of FL, with the zip code 333232823.
What is Charles Edward Flack's area of expertise and its corresponding taxonomy classification?
The Charles Edward Flack's field of specialization is Pediatric Urology, and it falls under the taxonomy code 2088P0231X, which categorizes healthcare providers based on their areas of practice.
On what date did the Charles Edward Flack receive the assignment of its 1497729727 from the Centers for Medicare & Medicaid Services?
The Charles Edward Flack was issued its 1497729727 by the Centers for Medicare & Medicaid Services on 2006-02-14.
As of what date were the details related to Charles Edward Flack most recently updated or revised?
The information pertaining to Charles Edward Flack, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-12.