CHARLES HAMILTON BOONE PA-C NPI 1447320726

NPI Information

NPI: 1447320726
Provider Name: CHARLES HAMILTON BOONE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
301 E HIBISCUS BLVD
MELBOURNE, FL
ZIP 32901
Phone: (321) 409-8941
Get Directions

Charles Hamilton Boone, PA-C is a surgical physician assistant in Melbourne, FL. Charles Hamilton Boone, PA-C NPI is 1447320726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 E HIBISCUS BLVD
MELBOURNE, FL
ZIP 32901-105
Phone: (321) 409-8941
Fax: (321) 409-9392

The NPI 1447320726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 10/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA3525	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA3525	OTHER	FLORIDA	LICENCE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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