Provider Demographics
NPI:1740347343
Name:STEWART, CHARLES KERTH (DVM)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:KERTH
Last Name:STEWART
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 OLD DIXIE HIGHWAY SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962
Mailing Address - Country:US
Mailing Address - Phone:772-770-4263
Mailing Address - Fax:772-778-4571
Practice Address - Street 1:890 OLD DIXIE HIGHWAY SW
Practice Address - Street 2:LIVE OAK ANIMAL HOSPITAL
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962
Practice Address - Country:US
Practice Address - Phone:772-770-4263
Practice Address - Fax:772-778-4571
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3591174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian