Charon Kingsley

NPI 1578790366 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1578790366
Gender Female
Enumeration Date 06/18/2009
Last Updated 06/18/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
5350 SW 130TH AVE
1660 NORTHWEST 7TH COURT
MIRAMAR FL, 33027-5410, US
Phone (305) 200-1778
Fax
Business Location
5350SW130THAVE.,33027
MIRAMAR FL, 33027, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Florida
License Number 1522202
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According to our database, Charon Kingsley NPI is 1578790366, taxonomy code is 363LF0000X and license number is 1522202, license state is located at Florida. Charon Kingsley physically located at 5350 Sw 130th Ave, Miramar FL, 33027-5410. NPI Number Charon Kingsley has the Individual type.

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1578790366 NPI number is provided on an as is basis without warranty of any kind. 1578790366 is maintained by the National Plan & Provider Enumeration System. The contents of Charon Kingsley are for informational purposes only.