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Charon Kingsley
Family Nurse Practitioner in Miramar, Florida
NPI 1578790366

Charon Kingsley is a Family Nurse Practitioner based in Miramar, FL and is specialized in Family. Charon Kingsley practices in Miramar, FL. The NPI Number for Charon Kingsley is 1578790366 and holds a License No. 1522202 (Florida).

The current practice location address for Charon Kingsley is 5350 Sw 130Th Ave, Miramar, FL and can be reached out via phone at 305-200-1778.

Location: 5350 Sw 130Th Ave, Miramar, FL, 33027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578790366
Provider Name
Charon Kingsley
Credential
Provider Entity Type
Individual
Gender
Female
Address
5350 Sw 130Th Ave, Miramar, FL, 33027
Phone Number
305-200-1778
Fax Number
Provider Enumeration Date
06/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5350 Sw 130Th Ave
City
Miramar
State
Florida
Zip
33027-5410
Phone Number
305-200-1778
Fax Number
person
Provider Business Mailing Address Details
Address
5350 Sw 130Th Ave
City
Miramar
State
Florida
Zip
33027-5410
Phone Number
305-200-1778
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1522202 (Florida)
Definition
Definition to come...
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