Nelson Charlie MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME 85619 Issued in FL

Legal business name

NELSON CHARLIE MD PA

Practice address

1800 SE 10TH Ave
Ste. 305
Fort Lauderdale, FL 33316-2901

Phone

(954) 467-4100

Fax

(954) 467-4080

NPI assigned

Apr 6, 2007

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nelson Charlie, M.D.NPI 1811998982

Title

Ceo Owner

Phone

(954) 467-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelson Charlie, M.D.

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1811998982

  Procedural Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Carol Lattouf, MD

  • Dermatology Physician
  • Miami, FL
  • NPI 1043519564
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1750404844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE 10TH AVE",
            "address_2": "STE. 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162901",
            "telephone_number": "954-467-4100",
            "fax_number": "954-467-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE 10TH AVE",
            "address_2": "STE. 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162901",
            "telephone_number": "954-467-4100",
            "fax_number": "954-467-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHARLIE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "CHARLIE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "954-467-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME 85619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Nurse Clinics LLC
• Neil H Edison MD PA
• Minda Neimark, MD
• Olivia Faye Neiwirth
• Abdullah Nejati, MD
• Beverley Nelson-Curtis, MD
• Adanna Nelson
• Beau Augustus Nelson, DBH, LCSW
• Brian Keith Nelson, M.D.
• Jania Nelson

• Procedural Dermatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.