Provider Demographics
NPI:1003248550
Name:CHARADAN, MARGARITA ANN
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:ANN
Last Name:CHARADAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 PINES BLVD
Mailing Address - Street 2:SUITE 415-408
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6455
Mailing Address - Country:US
Mailing Address - Phone:305-454-9546
Mailing Address - Fax:305-705-3790
Practice Address - Street 1:9050 PINES BLVD
Practice Address - Street 2:SUITE 415-408
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6455
Practice Address - Country:US
Practice Address - Phone:305-454-9546
Practice Address - Fax:305-705-3790
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator