Individual
CHARON KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 SW 130TH AVE, 1660 NORTHWEST 7TH COURT, MIRAMAR, FL 33027-5410
(305) 200-1778
Mailing address
5350SW130THAVE.,33027, MIRAMAR, FL 33027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1522202
FL
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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