| Doctor Name: | DR. ALIX CHARLES |
| NPI Number: | 1023114600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO3379 |
| Business Practice Address: | 1071 Alabama Ave Fort Lauderdale, FL - 333127329 |
| Business Phone Number: | 9543167758 |
| Business Fax Number: | 9543167758 |
| Mailing Address: | 1071 Alabama Ave, FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333127329 |
| Phone Number: | 9543167758 |
| Fax Number: | 9543167758 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 03/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | PO3379 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |