Individual
DR. NELSON CHARLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 SE 10TH AVE, SUITE 305, FORT LAUDERDALE, FL 33316-2901
(954) 467-4100
(954) 467-4080
Mailing address
1800 SE 10TH AVE, SUITE 305, FORT LAUDERDALE, FL 33316-2901
(954) 467-4100
(954) 467-4080
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME85619
FL
207NS0135X
Procedural Dermatology Physician
ME85619
FL
Other
Enumeration date
08/10/2005
Last updated
05/03/2013
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