ALIX CHARLES, DPM, PA
Medical Practice in Fort Lauderdale, FL

License number
Florida PO3379
Category
Medical Practice
Type
Foot Surgery
Owner
Name: DR. ALIX CHARLES DPM
Title: SOLE PROPRIETOR
Phone: (954) 766-4384
Address
Address
4330 W Broward Blvd Ste E, Fort Lauderdale, FL 33317
National Provider ID: 1538498126
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Alix Charles Dpm PA

Fort Lauderdale, FL

Industry:
Podiatrist's Office
Registration:
Feb 18, 2009
Addresses:
4330 W Broward Blvd, Fort Lauderdale, FL 33317
1071 Alabama Ave, Fort Lauderdale, FL 33312
State ID:
P09000015582
Business type:
Domestic for Profit Corporation
Treasurers:
Alix Charles (Podiatrist, Principal, President),Carline M. Charles (Treasurer)
Agent:
Duclas & Duclas, Llc

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