MEDICARE: MS. ELIZABETH CHARRON LM, CPM

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	261QB0400X	Birthing Clinic/Center	341	FL
2	176B00000X	Midwife	MW283	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	:	1972851244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH CHARRON LM, CPM

Provider Business Mailing Address
First Line	:	236 SE 23RD AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7620
Country	:	US
Telephone Number	:	561-455-2703
Fax Number	:	561-560-8852

Provider Business Practice Location Address
First Line	:	236 SE 23RD AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-7620
Country	:	US
Telephone Number	:	561-455-2703
Fax Number	:	561-560-8852

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

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	01/16/2023

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