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Contact Information

LISA GAIL T CHARLES, MD
2950 CLEVELAND CLINIC BLVD
WESTON, FL33331-3609
 Phone: 954-659-5883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA GAIL T CHARLES · (Female)

NPI Number 1962465641
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 12/26/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 131685
  • GA License # 057853
  • NC License # 117206
Hospital affiliation(s)
  • CLEVELAND CLINIC HOSPITAL - (Acute Care)
    3100 WESTON RD
    WESTON, FL 33331
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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