Ise, Charleen L.

Ise, Charleen L. is an individual health care provider with primary practice located at 1120 Pinellas Bayway Ste 200, Tierra Verde FL 33715-1505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as her primary health care specialty. Ise, Charleen L. can be contacted via phone (727) 867-5480.

Contact Information

Primary practice address
1120 Pinellas Bayway Ste 200 Tierra Verde FL 33715-1505
Phone: (727) 867-5480
Fax: (727) 867-5470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X ME0055512 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME55512 Florida

Profile Details

NPI number 1053427716
LBN Legal business name Ise, Charleen L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053427716 NPPES
Florida MEDICAID 101276100
Florida Other 0100444
Florida Other 267080
Florida Other P00306082
Florida Other 09781
Florida Other 4045500

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