MR. PATRICK HARRY CHARLES (NPI# 1124538764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124538764 |
Entity Type | Individual |
Full Name | MR. PATRICK HARRY CHARLES |
Credential | NURSE PRACTITIONER |
Practice Address |
8229 Pacific Beach Dr Fort Myers FL 33966-7974 |
Practice Telephone | 3056526203 |
Practice Fax Number | 3056526203 |
Mailing Telephone | 3056526203 |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9254956 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396742151 | Patrick Anselm Charles | Internal Medicine | 18601 Mack Ave, Suite 2, Detroit, MI 48236-3250 | 2005-07-07 |
1295138782 | Patrick Charles | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2014-09-29 |
1811994130 | Patrick Benjamin Charles | Dentist | 2684 W Highway 11e, Strawberry Plains, TN 37871-3554 | 2005-07-01 |
Street Address |
8229 PACIFIC BEACH DR |
City | FORT MYERS |
State | FL |
Zip Code | 33966-7974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
Find all providers in zip 33966 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538775366 | Rebecca Marie Deroche | Nurse Practitioner | 10810 Mcgregor Blvd, Fort Myers, FL 33919-1846 | 2020-09-17 |
1730711714 | Weekend Psychrx LLC | Nurse Practitioner | 17940 N Tamiami Trl Ste 110-519, Fort Myers, FL 33903-1413 | 2020-02-07 |
1548697626 | Ann Hart | Nurse Practitioner | 4350 Fowler St Ste 24, Fort Myers, FL 33901-2698 | 2013-10-03 |
1558657593 | Hilary A Sojdak | Nurse Practitioner | 6804 Porto Fino Cir Ste 1, Fort Myers, FL 33912-7139 | 2011-06-28 |
1215162094 | Karen S Woods | Nurse Practitioner | 12590 Whitehall Dr Ste 3, Fort Myers, FL 33907 | 2009-05-21 |
1174555726 | Linda Sebastian | Nurse Practitioner | 12717 Kingsmill Way, Fort Myers, FL 33913-8444 | 2006-07-06 |
1619575818 | Dylan Andrew Demars | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-12 |
1275159485 | Shayna Leeann Aguilar | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-06-23 |
1972139160 | Amanda Michelle Boroff | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-03-19 |
1417515347 | Brittany Batton Murray | Nurse Practitioner | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-06-05 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33966 |
Please comment or provide details below to improve the information on MR. PATRICK HARRY CHARLES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.