MEDICARE: CHARITY WAWERU

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	171W00000X	Contractor		FL
2	225A00000X	Music Therapist	17977	FL

General Provider Information

NPI Number	:	1184596595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARITY WAWERU

Provider Business Mailing Address
First Line	:	19731 NE 12TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-3528
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3891 STIRLING RD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-6216
Country	:	US
Telephone Number	:	954-416-2444
Fax Number	:

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

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	10/15/2025

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Directions to “ CHARITY WAWERU ” Practice Location

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