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NPI Code Detail

MEDICARE: SHERLIE CHARLOT

MEDICARE: SHERLIE CHARLOT
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
1163WC0400XCase Management Registered NurseRN9521679FL

General Provider Information

NPI Number : 1659226397
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERLIE CHARLOT
Provider Business Mailing Address
First Line : 1121 WOODFIELD CT
Second Line :
City : GREENACRES
State : FL
Zip : 33415-1409
Country : US
Telephone Number : 561-840-0754
Fax Number :
Provider Business Practice Location Address
First Line : 5555 W BLUE HERON BLVD
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33418-7815
Country : US
Telephone Number : 561-840-0754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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Directions to “ SHERLIE CHARLOT ” Practice Location

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