Charles, Shawna

Charles, Shawna is an sole proprietor health care provider with primary practice located at 10472 Taft St , Pembroke Pines FL 33026-2819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Charles, Shawna can be contacted via phone (954) 990-0461.

Contact Information

Primary practice address
10472 Taft St Pembroke Pines FL 33026-2819
Phone: (954) 990-0461
Fax: (954) 990-0465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1956772 Florida

Profile Details

NPI number 1851428064
LBN Legal business name Charles, Shawna
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Mar 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851428064 NPPES
Florida MEDICAID 306092600

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