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

Mr. Phares Charles, PA

Individual provider Medical Physician Assistant · NPI 1962221283

Mr. Phares Charles, PA is a Medical Physician Assistant in Fort Myers, Florida. Licensed in Puerto Rico. Registered with an NPI since 2024.

Licensed in
PR
In the registry since
2024
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.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001884-PA (PR)

Record details

NPI number1962221283
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

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