Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nelson Charlie MD PA

Organization Procedural Dermatology Physician · NPI 1750404844

Nelson Charlie MD PA is a Procedural Dermatology Physician in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 SE 10th Ave Ste 305
Fort Lauderdale, FL 33316-2901
Phone: (954) 467-4100
Fax: (954) 467-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence ME 85619 (FL)

Record details

NPI number1750404844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nelson Charlie — Ceo Owner · (954) 467-4100
NPI enumeratedApril 6, 2007
Last updated in NPPESApril 1, 2008
Mailing address1800 Se 10th Ave, Ste. 305, Fort Lauderdale, FL 33316-2901

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