Organization
NELSON CHARLIE MD PA
Active
Organization
NELSON CHARLIE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON CHARLIE M.D. (CEO OWNER)
(954) 467-4100
Entity
Organization
Contact information
Practice address
1800 SE 10TH AVE, STE. 305, FORT LAUDERDALE, FL 33316-2901
(954) 467-4100
(954) 467-4080
Mailing address
1800 SE 10TH AVE, STE. 305, FORT LAUDERDALE, FL 33316-2901
(954) 467-4100
(954) 467-4080
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME 85619
FL
Other
Enumeration date
04/06/2007
Last updated
04/01/2008
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