Individual
MRS. CHARLENE RENEE' JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1625 SE 3RD AVE STE 620, FORT LAUDERDALE, FL 33316-2521
(954) 320-3380
(954) 320-3371
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 320-3380
(954) 320-3371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9220976
FL
Other
Enumeration date
06/11/2018
Last updated
07/03/2025
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