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

Mr. Nesly Ismenard Charles, PA

Individual provider Surgical Assistant · NPI 1700564846

Mr. Nesly Ismenard Charles, PA is a Surgical Assistant in Fort Myers, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Wisconsin.

Licensed in
AZ, WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3822 Broadway Ste A
Fort Myers, FL 33901-8148
Phone: (239) 900-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3155 Lake Worth Rd, Palm Springs, FL 33461-6917 — (561) 858-8817

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10014 (AZ)
Surgical Assistant Taxonomy 246ZC0007X · Licence 21-268 (WI)

Record details

NPI number1700564846
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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