Individual
CORNELIA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 292-4949
Mailing address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 292-4949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015011040
MO
207R00000X
Internal Medicine Physician
Primary
ME128846
FL
Other
Enumeration date
05/12/2012
Last updated
02/14/2022
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