MEDICARE: DR. HANS MICHAEL LOUIS-CHARLES M.D.

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	207R00000X	Internal Medicine Physician	ME 93889	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659322170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANS MICHAEL LOUIS-CHARLES M.D.

Provider Business Mailing Address
First Line	:	3601 W COMMERCIAL BLVD
Second Line	:	SUITE 26
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3300
Country	:	US
Telephone Number	:	954-739-3880
Fax Number	:	954-739-3887

Provider Business Practice Location Address
First Line	:	3601 WEST COMMERCIAL BLVD.
Second Line	:	SUITE 26
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33309-3321
Country	:	US
Telephone Number	:	954-739-3880
Fax Number	:	954-739-3887

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	10/04/2016

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