MR. NESLY ISMENARD CHARLES PA
NPI 1700564846
Physician Assistant - Medical in Fort Myers, FL

Active since July 10, 2023
3822 BROADWAY STE A, FORT MYERS, FL 33901(239) 900-9170 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Mr. Nesly Ismenard Charles Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NESLY ISMENARD CHARLES PA (NPI 1700564846) is an individual medical provider in Fort Myers, Florida, licensed in Arizona (10014) and active in the NPI registry since July 2023. He maintains a secondary practice location in Palm Springs.

NPPES Registry Identity

NPI1700564846
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. NESLY ISMENARD CHARLESCredential: PA
Location Address3822 BROADWAY STE AFort Myers, FL 33901-8148
Mailing Address1215 Sea Pines WayLantana, FL 33462-4248 · (561) 574-5787
Sole ProprietorYes
Enumeration DateJuly 10, 2023
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1700564846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 10014
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 21-268 (WI)
3822 BROADWAY STE A, Fort Myers, FL 33901

Secondary Practice Location 1

Location 13155 Lake Worth RdPalm Springs, FL 33461-6917 · Phone (561) 858-8817

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3822 BROADWAY STE A
FORT MYERS, FL 33901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nesly Charles's NPI number?

The NPI number for Nesly Charles is 1700564846. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Nesly Charles located?

Nesly Charles practices at 3822 Broadway Ste A, Fort Myers, FL 33901. The listed phone number is (239) 900-9170.

What is Nesly Charles's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nesly Charles was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.