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1962221283
PHARES CHARLES
FORT MYERS, FL
NPI
1962221283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PR 001884-PA)
Enumeration Date
2024-10-03
Last Update Date
2024-10-03
Business Address
Mr. PHARES CHARLES PA
3822 BROADWAY STE A
FORT MYERS, FL 33901-8148
Phone number: 239-900-9170
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Mailing Address
Mr. PHARES CHARLES PA
630 ROYAL PALM DR
LAKE WORTH, FL 33460-4757
Phone number: 781-535-2779
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