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NPI Code Detail

MEDICARE: MANICA CHARLES

MEDICARE: MANICA 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
1163W00000XRegistered NurseN2381801FL

General Provider Information

NPI Number : 1225972516
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANICA CHARLES
Provider Business Mailing Address
First Line : 4908 NW 58TH ST
Second Line :
City : TAMARAC
State : FL
Zip : 33319-2821
Country : US
Telephone Number : 561-907-3678
Fax Number :
Provider Business Practice Location Address
First Line : 89 BARTLETT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4463
Country : US
Telephone Number : 561-907-3678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ MANICA 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.

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