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Contact Information

CHARLEEN L ISE, MD
1120 PINELLAS BAYWAY
STE 200
TIERRA VERDE, FL33715-1505
 Phone: 727-867-5480
 Fax: 727-867-5470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CHARLEEN L ISE · (Female)

NPI Number 1053427716
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 02/13/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0055512
  • FL License # ME55512
  • FL Medicaid 101276100
  • Other 4045500 AETNA
  • Other 267080 AVMED
  • Other 0100444 EVERCARE
  • Other P00306082 RAILROAD MEDICARE
  • FL Other 09781 BCBS
Hospital affiliation(s)
  • LARGO MEDICAL CENTER - (Acute Care)
    201 14TH ST SW
    LARGO, FL 33770
  • MEDICAL CENTER OF TRINITY - (Acute Care)
    9332 SR 54, STE 401
    TRINITY, FL 34655
  • PALMS OF PASADENA HOSPITAL - (Acute Care)
    1501 PASADENA AVE S
    SAINT PETERSBURG, FL 33707
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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