Dr. Charles B. Mcintosh
M.D. | Pediatric Adolescent Medicine | Male
Dr. Charles B. Mcintosh, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Charles B. Mcintosh is
3160 Edgewood Ave W, Jacksonville, Florida - 32209-2245. He can be contacted on phone at
904-765-5804 and fax number 904-765-0958.
Dr. Charles B. Mcintosh is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Charles B. Mcintosh is
1336252444 which was assigned by NPPES on 16 Aug, 2006 and it was last updated on 08 Jul, 2007.
Dr. Charles B. Mcintosh license number is
0006612 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Dr. Charles B. Mcintosh 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.
Complete Profile:
Dr. Charles B. Mcintosh basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Charles B. Mcintosh |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Charles B. Mcintosh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3160 Edgewood Ave W
Jacksonville, FL, 32209-2245
United States |
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| Phone Number : | 904-765-5804 |
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| Fax Number : | 904-765-0958 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336252444 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles B. Mcintosh are as mentioned. Primary taxonomy code for Dr. Charles B. Mcintosh, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 0006612 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Charles B. Mcintosh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0932138002 | Other | FL | CIGNA |
| 16450 | Other | FL | BLUE CROSS /BLUE SHIELD |
| 13123 | Other | FL | HEALTHEASE |
| 4047696 | Other | FL | AETNA |
| 1055089 | Other | FL | HUMANA |
| 16450 | Other | FL | TRICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3160 Edgewood Ave W
Jacksonville, FL, 32209-2245
United States |
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| Phone Number : | 904-765-5804 |
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| Fax Number : | 904-765-0958 |
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Business Location:
Patients can refer following map for directions to
Dr. Charles B. Mcintosh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.