Nelson Charlie MD PA

NPI #1750404844 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1750404844
Entity Type: Organization
Organization Name: Nelson Charlie MD PA
Primary Specialty: Dermatology - Procedural Dermatology
Enumeration Date: Apr 6, 2007
Last Updated: Apr 1, 2008

Practice Location

Address: 1800 SE 10TH AVE
Address 2: STE. 305
City: Fort Lauderdale
State: Florida
ZIP Code: 33316-2901
Phone: (954) 467-4100

Authorized Official

Name: DR. NELSON CHARLIE, M.D.
Title: CEO OWNER
Phone: (954) 467-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X	Primary

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