DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLEEN L. ISE, MD

Active

DR. CHARLEEN L. ISE, MD is a 2083P0011X healthcare provider located in TIERRA VERDE, Florida. NPI 1053427716 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · TIERRA VERDE, FL

Registration Details

NPI Number
1053427716
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2006 (20.008713125801 yrs)
Last Updated
Feb 13, 2024
Licenses
ME0055512 (FL)
ME55512 (FL)

Practice Information

Address
1120 PINELLAS BAYWAY
STE 200
TIERRA VERDE, FL, 337151505
Browse FL providers · Browse ZIP 33715
Phone
7278675480
Fax
7278675470
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
2083P0011X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.