Healthcare Provider Details

I. General information

NPI: 1922071331
Provider Name (Legal Business Name): CHARLES EATON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 FOREST HILL BLVD STE 201
WEST PALM BEACH FL
33406
US

IV. Provider business mailing address

1850 FOREST HILL BLVD STE 201
WEST PALM BEACH FL
33406-6060
US

V. Phone/Fax

Practice location:
  • Phone: 561-429-8279
  • Fax: 561-828-0494
Mailing address:
  • Phone: 561-429-8279
  • Fax: 561-828-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME0053188
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: