Individual
CHARLES L. MYERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 452015, SUNRISE, FL 33345-2015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15067
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320153
—
LA
Enumeration date
01/31/2006
Last updated
07/08/2007
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