Provider Demographics
NPI:1689836660
Name:RAELE, CHARLES ALEX (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:ALEX
Last Name:RAELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1901 S CONGRESS AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6551
Mailing Address - Country:US
Mailing Address - Phone:561-330-4557
Mailing Address - Fax:561-330-4558
Practice Address - Street 1:1901 S CONGRESS AVE STE 300
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6551
Practice Address - Country:US
Practice Address - Phone:561-330-4557
Practice Address - Fax:561-330-4558
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1096482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry