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Liza N Charles, M.D

Pediatrics in Fort Myers, FL. Individual provider (NPI-1).

NPI number1891069233
StatusActive
Last updated in NPPESSep 28, 2020

Details

NPI
1891069233
Entity type
Individual (NPI-1)
Name
Liza N Charles
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Mar 2, 2012
Certification date
Sep 28, 2020
Last updated
Sep 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsME118536FLYes

Practice location

19701 S Tamiami Trl
Fort Myers, FL 33908-4818

Phone 239-314-1660 · Fax 239-425-6404

Mailing address

Po Box 919771
Orlando, FL 32891-9771

Phone 239-278-3600

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