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Individual
DR. SHAWNA CHARLES
Active
Individual
DR. SHAWNA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1956772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306092600
—
FL
Enumeration date
02/27/2007
Last updated
03/30/2015
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