National Provider Identifier Database

CHARLES B MCINTOSH, MD – NPI #1336252444
Adolescent Medicine

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.


Contact Information

CHARLES B MCINTOSH, MD
3160 EDGEWOOD AVE W
JACKSONVILLE, FL32209-2245
Phone: 904-765-5804
Fax: 904-765-0958
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for CHARLES B MCINTOSH

NPI Number 1336252444
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: 0006612
  • FL Other: 4047696 AETNA
  • FL Other: 16450 BLUE CROSS /BLUE SHIELD
  • FL Other: 0932138002 CIGNA
  • FL Other: 13123 HEALTHEASE
  • FL Other: 1055089 HUMANA
  • FL Other: 16450 TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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