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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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