Provider Demographics
NPI:1548541998
Name:CENTER FOR NATURAL HEALING AND REGENERATIVE MEDICINE, INC.
Entity type:Organization
Organization Name:CENTER FOR NATURAL HEALING AND REGENERATIVE MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-934-6256
Mailing Address - Street 1:2825 N STATE ROAD 7
Mailing Address - Street 2:203
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-934-6256
Mailing Address - Fax:866-658-5450
Practice Address - Street 1:2825 N STATE ROAD 7
Practice Address - Street 2:203
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-934-6256
Practice Address - Fax:866-658-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME567732083S0010X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports MedicineGroup - Multi-Specialty