Individual
MR. JEAN PHILIPPE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-5600
Mailing address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
FL
Enumeration date
03/13/2007
Last updated
02/21/2019
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