Provider Demographics
NPI:1801859962
Name:KAISER, CHARLES JOSIAH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JOSIAH
Last Name:KAISER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:#400-E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-598-2020
Mailing Address - Fax:305-274-0426
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:#400-E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-598-2020
Practice Address - Fax:305-274-0426
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2010-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0065969207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF79340Medicare UPIN
FL25227VMedicare ID - Type Unspecified