Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891069233 Individual Practitioner Female Practitioner

Dr. Liza N Charles , MD

Pediatrics • Fort Myers, FL

Professional Overview & Biography Verified Profile Summary

Dr. Liza Charles, MD is a registered healthcare professional specializing in Pediatrics in Fort Myers, FL. Practice services are available at 19701 S TAMIAMI TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19701 S Tamiami Trl

Fort Myers, FL 339084818

Telephone 2393141660
Fax 2394256404
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
57 Specialists

Practicing in Fort Myers, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME118536

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
011911100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Taras Babiak

Family Medicine

NPI 1013399039
Lori Magnano , FNP-BC

Nurse Practitioner - Family

NPI 1265299010

Family Nurse Practitioner (Board Certified)

Laura Fajardo Turrent

Student in an Organized Health Care Education/Training Program

NPI 1275274979
NPI 1497300305

Doctor of Dental Medicine

Naomi Levy

Student in an Organized Health Care Education/Training Program

NPI 1528811551
NPI 1568821700

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address September 28, 2020

Registered at PO BOX 919771, ORLANDO, FL 328919771 (Tel: 2392783600)

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 19701 S TAMIAMI TRL, FORT MYERS, FL 339084818 (Tel: 2393141660)

📍
Updated Business Mailing Address May 03, 2017

Registered at PO BOX 1357, FORT MYERS, FL 339021357 (Tel: 2392783600)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as LIZA CHARLES, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Pediatrics (License #ME118536 in FL)

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2016

Registered at 19701 S TAMIAMI TRL, FORT MYERS, FL 339084818 (Tel: 2393141660)

📍
Updated Business Mailing Address July 05, 2016

Registered at PO BOX 1357, FORT MYERS, FL 339021357 (Tel: 2392783600)

👤
Provider Name / Credentials Updated July 05, 2016

Recorded as LIZA CHARLES, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Pediatrics (License #ME118536 in FL)

🟢
Initial NPI Registration & Enumeration March 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891069233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2012
Last Update: September 28, 2020
Sole Proprietor: No

Mailing Address

Po Box 919771

Orlando, FL 328919771

Phone: 2392783600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.