Dr CHARLES C SOUTHERLAND JR. is a male medical professional, specializing in Podiatry. He graduated in 1983 from California College Podiatric Medicine.
BARRY UNIVERSITY INC
3659 S MIAMI AVE
SUITE 3008
MIAMI
FL
331334225
Tel: 3058597777
| Npi | 1306832944 |
| Pac Id | 3678744364 |
| Professional Enrollment Id | I20110929000653 |
| Last Name | SOUTHERLAND |
| First Name | CHARLES |
| Middle Name | C |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BARRY UNIVERSITY INC |
| Group Practice Pac Id | 3870499718 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 3659 S MIAMI AVE |
| Line 2 Street Address | SUITE 3008 |
| Marker Of Address Line 2 Suppression | |
| City | MIAMI |
| State | FL |
| Zip Code | 331334225 |
| Phone Number | 3058597777 |
| Hospital Affiliation Ccn 1 | 100022 |
| Hospital Affiliation Lbn 1 | JACKSON HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | 100187 |
| Hospital Affiliation Lbn 2 | PALMETTO GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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