Individual
NELSON CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
(239) 278-0404
Mailing address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
(239) 278-0404
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0027185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065716600
—
FL
Enumeration date
06/28/2006
Last updated
09/23/2014
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