Individual
ANIDE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 W BOYNTON BEACH BLVD # 4324, BOYNTON BEACH, FL 33436-4606
(561) 800-3510
Mailing address
10062 STONEHENGE CIR APT 119, BOYNTON BEACH, FL 33437-3539
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
10D2255961
FL
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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