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

Renold Charles

Individual provider Physician Assistant · NPI 1538931290

Renold Charles is a Physician Assistant in Lake Worth, Florida. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Puerto Rico.

Years since qualifying
12
Licensed in
PR
In the registry since
2023

Practice location Address checks out

4405 Lakewood Rd
Lake Worth, FL 33461-3414
Phone: (561) 969-1400
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1745P.A. (PR)

Record details

NPI number1538931290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 26, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address101 Ne 31st St, Pompano Beach, FL 33064-3645

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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