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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHARLES B MCINTOSH · (Male)

NPI Number 1336252444
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 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(s) Not Available
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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