Individual provider · Type 1 NPI

Charles Kenji Miyamoto, PA-C

Medical Physician Assistant · Orlando, FL

NPI number 1487153078 Active

Practice location

1400 S Orange Ave
Orlando, FL 32806-2134

Call (321) 843-8010 Map

Fax (321) 843-6330

Other practice locations

  • 4215 Edgewater Dr, Orlando, FL 32804-2206 · (973) 826-8291

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9115276 (FL)
Medical Physician Assistant Primary 363AM0700XPA9115276 (FL)
Physician Assistant 363A00000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1487153078

Charles Kenji Miyamoto, PA-C's National Provider Identifier is 1487153078, issued on Feb 8, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Jul 8, 2024.