Individual
CHARLES BRUCE DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3810 SW 51ST STREET, FORT LAUDERDALE, FL 33312
(786) 543-1041
Mailing address
3810 SW 51ST STREET, FORT LAUDERDALE, FL 33312
(786) 543-1041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3587
STATE LICENSE
FL
Enumeration date
08/19/2006
Last updated
09/15/2011
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