SearchFlorida363A00000X

Charmelene Chanthabouasith

NPI 1750751772 · on the registry since 2015

Practice

Address
4278 W Linebaugh Ave
Tampa, FL 33624
Phone
(813) 977-0733
Clinicians at this address
11

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida