Provider Demographics
NPI:1659322170
Name:LOUIS-CHARLES, HANS MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:MICHAEL
Last Name:LOUIS-CHARLES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 26
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3300
Mailing Address - Country:US
Mailing Address - Phone:954-739-3880
Mailing Address - Fax:954-739-3887
Practice Address - Street 1:3601 WEST COMMERCIAL BLVD.
Practice Address - Street 2:SUITE 26
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3321
Practice Address - Country:US
Practice Address - Phone:954-739-3880
Practice Address - Fax:954-739-3887
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 93889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274125300Medicaid
FL274125300Medicaid