MEDICARE: DR. BARRY CHARNICK MD

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	2085N0904X	Nuclear Radiology Physician	ME80425	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	:	1700889912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY CHARNICK MD

Provider Business Mailing Address
First Line	:	2122 W CYPRESS CREEK RD STE 210
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1868
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2122 W CYPRESS CREEK RD STE 210
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1868
Country	:	US
Telephone Number	:	954-266-3600
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/07/2024

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Directions to “ DR. BARRY CHARNICK MD” Practice Location

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