Healthcare Provider Details

I. General information

NPI: 1083796015
Provider Name (Legal Business Name): CHARNAM AND FRIEDLANDER DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 01/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1874 W HILLSBORO BLVD SUITE F
DEERFIELD BEACH FL
33442-1420
US

IV. Provider business mailing address

1874 W HILLSBORO BLVD SUITE F
DEERFIELD BEACH FL
33442-1420
US

V. Phone/Fax

Practice location:
  • Phone: 954-426-4544
  • Fax: 954-426-4533
Mailing address:
  • Phone: 954-426-4544
  • Fax: 954-426-4533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT CHARNAM
Title or Position: PRESIDENT
Credential: DPM
Phone: 954-426-4544