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

Charlemagne Raphael, PHYSICIANASSISTANT

Individual provider Family Medicine Physician · NPI 1588342075

Charlemagne Raphael, PHYSICIANASSISTANT is a Family Medicine Physician in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2023

Practice location Address checks out

220 SW 38th Ave Apt 104
Fort Lauderdale, FL 33312-1871
Phone: (475) 268-9328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 001358-PA (PR)

Record details

NPI number1588342075
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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