IndividualActive
Charleen Ise, MD
NPI 1053427716 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Tierra Verde, FL
Provider details
- NPI number
- 1053427716
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME0055512 (FL)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense ME55512 (FL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1120 Pinellas Bayway
Ste 200
Tierra Verde, FL 33715-1505
Phone: (727) 867-5480
Fax: (727) 867-5470
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 530968
St Petersburg, FL 33747-0968
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.