Individual
MRS. MARIE JEANNETTE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9066 SW 73RD CT, UNIT 1508, MIAMI, FL 33156-2969
(305) 382-8457
(305) 382-8457
Mailing address
9066 SW 73RD CT, UNIT 1508, MIAMI, FL 33156-2969
(305) 382-8457
(305) 382-8457
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2100962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153825
—
FL
Enumeration date
07/10/2010
Last updated
07/10/2010
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