NELSON CHARLIE MD PA
NPI 1750404844
Dermatology - Procedural Dermatology in Fort Lauderdale, FL

Q: What is Nelson Charlie MD PA's NPI number?

The NPI number for Nelson Charlie MD PA is 1750404844. It was assigned to this organization in the NPPES registry on April 6, 2007.

Q: What is Nelson Charlie MD PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since April 06, 2007

1800 SE 10TH AVE, STE. 305, FORT LAUDERDALE, FL 33316(954) 467-4100(954) 467-4080 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nelson Charlie Md Pa NPPES

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

NELSON CHARLIE MD PA (NPI 1750404844) is a healthcare organization registered as a procedural dermatology in Fort Lauderdale, Florida and active in the NPI registry since April 2007. The organization lists Nelson Charlie, Ceo Owner, as its authorized official.

NPPES Registry Identity

NPI1750404844

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameNELSON CHARLIE MD PA

Location Address1800 SE 10TH AVE, STE. 305Fort Lauderdale, FL 33316-2901

Mailing Address1800 Se 10th Ave, Ste. 305Fort Lauderdale, FL 33316-2901 · (954) 467-4100 · Fax (954) 467-4080

Phone(954) 467-4100

Fax(954) 467-4080

Organization SubpartNo

Authorized OfficialNelson CharlieCeo Owner · (954) 467-4100

Enumeration DateApril 6, 2007

Last NPPES UpdateApril 1, 2008

✔ NPI 1750404844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in FL · ME 85619

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

1800 SE 10TH AVE, Fort Lauderdale, FL 33316

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nelson Charlie Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nelson Charlie MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nelson Charlie, M.D.

Dermatology

NPI 1811998982

1800 SE 10TH AVE SUITE 305
Fort Lauderdale, FL 33316

(954) 467-4100

✔ PECOS✔ Accepts MedicareSame address

Carol Lattouf, MD

Dermatology

NPI 1043519564

1150 NW 14TH ST FL 2
Miami, FL 33136

(954) 558-1128

✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nelson Charlie MD PA's NPI number?

The NPI number for Nelson Charlie MD PA is 1750404844. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Nelson Charlie MD PA located?

Nelson Charlie MD PA is located at 1800 SE 10th Ave Ste. 305, Fort Lauderdale, FL 33316. The listed phone number is (954) 467-4100.

What is Nelson Charlie MD PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Nelson Charlie MD PA enrolled in Medicare?

Yes. Nelson Charlie MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nelson Charlie MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Nelson Charlie MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nelson Charlie MD PA was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.