Individual
CHARLIZE NICOLE SAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8175 NW 107TH AVE STE 110, DORAL, FL 33178-5040
(305) 209-6663
Mailing address
2243 SE 24TH PL, HOMESTEAD, FL 33035-2100
(305) 607-2766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11046720
FL
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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