IndividualActive
Charles Boothby, DO
NPI 1588600092 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Palm Harbor, FL
Provider details
- NPI number
- 1588600092
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS4598 (FL)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense OS4598 (FL)
Allopathic & Osteopathic Physicians
Practice location
3890 Tampa Rd
Suite 201
Palm Harbor, FL 34684-3676
Phone: (727) 781-3111
Fax: (727) 781-3113
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25513
Tampa, FL 33622-5513
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.