Provider Demographics
NPI:1881700615
Name:STONE, CHARLES B (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:B
Last Name:STONE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3700 WASHINGTON ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8256
Mailing Address - Country:US
Mailing Address - Phone:954-981-7070
Mailing Address - Fax:954-983-8510
Practice Address - Street 1:3700 WASHINGTON ST
Practice Address - Street 2:SUITE 305
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8256
Practice Address - Country:US
Practice Address - Phone:954-981-7070
Practice Address - Fax:954-983-8510
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2010-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME84181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8225XMedicare PIN
FLH71237Medicare UPIN