Individual provider · Type 1 NPI

Charon Kingsley

Family Nurse Practitioner · Miramar, FL

NPI number 1578790366 Active

Practice location

5350 SW 130th Ave, 1660 Northwest 7th Court
Miramar, FL 33027-5410

Call (305) 200-1778 Map

Mailing address

5350SW130THAVE.,33027
Miramar, FL 33027

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1522202 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1578790366

Charon Kingsley's National Provider Identifier is 1578790366, issued on Jun 18, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miramar, FL. The record was last updated on Jun 18, 2009.