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MR. PHARES CHARLES PA
NPI 1962221283
Physician Assistant - Medical in Fort Myers, FL

Active since October 03, 2024
3822 BROADWAY STE A, FORT MYERS, FL 33901(239) 900-9170 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Phares Charles Pa NPPES

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

MR. PHARES CHARLES PA (NPI 1962221283) is an individual medical provider in Fort Myers, Florida, licensed in Puerto Rico (001884-PA) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1962221283
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PHARES CHARLESCredential: PA
Location Address3822 BROADWAY STE AFort Myers, FL 33901-8148
Mailing Address630 Royal Palm DrLake Worth, FL 33460-4757 · (781) 535-2779
Phone(239) 900-9170
Sole ProprietorNo
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1962221283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PR · 001884-PA
3822 BROADWAY STE A, Fort Myers, FL 33901
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Other Providers at the Same Location NPPES

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

MR. NESLY ISMENARD CHARLES PA
Physician Assistant (Medical)
3822 BROADWAY STE A
FORT MYERS, FL 33901
Lee County (239) 900-9170

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 Phares Charles's NPI number?

The NPI number for Phares Charles is 1962221283. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Phares Charles located?

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

What is Phares 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 Phares Charles was last updated on October 3, 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.