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

Active since April 06, 2007CLIA 10D1026231 · Waiver
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: August 02, 2026.

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 holds a CLIA Waiver certificate valid through May 27, 2028 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1026231

Nelson Charlie MD PA · Fort Lauderdale, FL
Active · expires May 27, 2028
CLIA Number10D1026231
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorNelson Charlie
Laboratory Phone(954) 467-4100
Laboratory LocationNelson Charlie MD PA1800 SE 10th Avenue Ste 305, Fort Lauderdale, FL 33316
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. NELSON CHARLIE M.D.
Dermatology
1800 SE 10TH AVE, SUITE 305
FORT LAUDERDALE, FL 33316
Broward County (954) 467-4100

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.

Does Nelson Charlie MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1026231) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.