| Doctor Name: | CHARMAINE HENRY |
| NPI Number: | 1003066713 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP2875992 |
| Business Practice Address: | 1475 Nw 12th Ave Suite 3300 (d8-4) Miami, FL - 331361002 |
| Business Phone Number: | 3052433594 |
| Business Fax Number: | |
| Mailing Address: | 1475 Nw 12th Ave, Suite 3300 (d8-4) MIAMI |
| State: | FL |
| Postal Code: | 331361002 |
| Phone Number: | 3052433594 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2008 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2875992 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |