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

Mr. Patrick Harry Charles, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124538764

Mr. Patrick Harry Charles, NURSEPRACTITIONER is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2017, 9 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, New Hampshire and Washington.

Years since qualifying
9
Licensed in
FL, NH, WA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

8229 Pacific Beach Dr
Fort Myers, FL 33966-7974
Phone: (305) 652-6203
Fax: (305) 652-6203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9254956 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP60961251 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 077529-23 (NH)

Record details

NPI number1124538764
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 10, 2017
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fort Myers