Individual provider · Type 1 NPI

Phares Charles, PA

Medical Physician Assistant · Fort Myers, FL

NPI number 1962221283 Active

Practice location

3822 Broadway Ste A
Fort Myers, FL 33901-8148

Call (239) 900-9170 Map

Mailing address

630 Royal Palm Dr
Lake Worth, FL 33460-4757

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001884-PA (PR)

Medical Physician Assistant: Definition to come...

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About NPI 1962221283

Phares Charles, PA's National Provider Identifier is 1962221283, issued on Oct 3, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 3, 2024.