Provider Demographics
NPI:1639686777
Name:CHARLES, DON LUTHER (ARNP)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:LUTHER
Last Name:CHARLES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 CLINT MOORE RD STE 305
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2661
Mailing Address - Country:US
Mailing Address - Phone:786-449-4471
Mailing Address - Fax:
Practice Address - Street 1:1905 CLINT MOORE RD STE 305
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2661
Practice Address - Country:US
Practice Address - Phone:561-288-6153
Practice Address - Fax:561-288-6087
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9314774207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease