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Charles Miyamoto, PA-C

NPI 1487153078 · on the registry since 2018 · sole proprietor

Practice

Address
1400 S Orange Ave
Orlando, FL 32806
Phone
(321) 843-8010
Fax
(321) 843-6330
Organisation at this address
Orlando Health Inc
Orlando Cancer Center Inc
Orlando Health Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
149

Additional practice sites

  • 4215 Edgewater Dr, Orlando, FL

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AS0400X
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida