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NELSON CHARLIE MD PA NPI 1750404844


NPI Information

NPI: 1750404844
Provider Name: NELSON CHARLIE MD PA
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
1800 SE 10TH AVE
STE. 305
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 467-4100
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NELSON CHARLIE MD PA is a procedural dermatology dermatology in Fort Lauderdale, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NELSON CHARLIE MD PA NPI is 1750404844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 SE 10TH AVE
STE. 305
FORT LAUDERDALE, FL
ZIP 33316-901
Phone: (954) 467-4100
Fax: (954) 467-4080

The provider's authorized official is Nelson Charlie .
The authorized official title is Ceo Owner and has the following contact phone number (954) 467-4100.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyME 85619FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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