DR. CHARLES BOADU MD NPI 1861056699

NPI Information

NPI: 1861056699
Provider Name: DR. CHARLES BOADU, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
9330 STATE ROAD 54
TRINITY, FL
ZIP 34655
Phone: (727) 834-4868
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DR. Charles Boadu, MD is a general practice in Trinity, FL. DR. Charles Boadu, MD NPI is 1861056699. 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:

9330 STATE ROAD 54
TRINITY, FL
ZIP 34655-808
Phone: (727) 834-4868

The enumeration date for this NPI number is 4/26/2019 and was last updated on 1/6/2022.

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	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program			No
2	208D00000X	General Practice	ME152416	FLORIDA	Yes
3	207R00000X	Internal Medicine	ME152416	FLORIDA	No

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: 11/14/2023

NPI Synchronization or Removal

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