Individual provider · NPI-1

Edwins Charles

Case Manager/Care Coordinator · Plantation, FL

NPI number1154772010
StatusActive
Last updated in NPPESJun 22, 2016

Details

NPI
1154772010
Entity type
Individual (NPI-1)
Name
Mr. Edwins Charles
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2016
Last updated
Jun 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

201 Nw 46th Ave
Plantation, FL 33317-3148

Phone 786-290-8177

Mailing address

19500 Nw 1st Ave
Miami, FL 33169-3362

Phone 786-290-8177

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