Individual
EVELYNE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5523 NW DOWNS ST, PORT ST LUCIE, FL 34986-4006
(772) 240-6636
(772) 249-7002
Mailing address
5523 NW DOWNS ST, PORT ST LUCIE, FL 34986-4006
(772) 240-6636
(772) 249-7002
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
15-1698
FL
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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