MEDICARE: ANIDE CHARLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247ZC0005X	Clinical Laboratory Director (Non-physician)	10D2255961	FL

General Provider Information

NPI Number	:	1891438479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIDE CHARLES

Provider Business Mailing Address
First Line	:	10062 STONEHENGE CIR APT 119
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 W BOYNTON BEACH BLVD # 4324
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4606
Country	:	US
Telephone Number	:	561-800-3510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	04/20/2022

Similar Medicare Providers

1437766334 — BJ'S WHOLESALE CLUB INC.
Practice Location Address:

1540 W BOYNTON BEACH BLVD
BOYNTON BEACH, FL
33436-4606

Practice Phone: 561-369-3409
Practice Fax:

1417831520 — VANNESSA KHANNI
Practice Location Address:

1530 W BOYNTON BEACH BLVD
BOYNTON BEACH, FL
33436-4606

Practice Phone: 754-800-8154
Practice Fax:

1386728558 — MRS. CATHERINE WIECHECKI VERGARA D.D.S.
Practice Location Address:

150 E COLUMBIA LN
COCOA BEACH, FL
32931-4606

Practice Phone: 321-784-4794
Practice Fax: 321-783-0747

1013081447 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

2600 BEACH BLVD , EDGEWATER MALL STE #67
BILOXI, MS
39531-4606

Practice Phone: 228-388-0855
Practice Fax:

1598809048 — DR. DAVID MARSHALL FORD O.D.
Practice Location Address:

2600 BEACH BLVD
BILOXI, MS
39531-4606

Practice Phone: 228-388-8495
Practice Fax:

1043417231 — DR. MINDY W. MARTIN PH.D.
Practice Location Address:

205 WORTH AVE , SUITE 201
PALM BEACH, FL
33480-4606

Practice Phone: 561-315-6378
Practice Fax: 561-833-5825

Directions to “ ANIDE CHARLES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.