Provider Demographics
NPI:1821288937
Name:CHARLAP, STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:CHARLAP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:22261 ALYSSUM WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4801
Mailing Address - Country:US
Mailing Address - Phone:617-319-6434
Mailing Address - Fax:561-338-2469
Practice Address - Street 1:5130 LINTON BLVD
Practice Address - Street 2:SUITE H-1
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6596
Practice Address - Country:US
Practice Address - Phone:561-807-2561
Practice Address - Fax:561-537-8221
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2012-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME89947208D00000X, 207QG0300X, 207QA0505X, 207QB0002X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F39457Medicare UPIN