Individual
CHARLES BISBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Mailing address
13602 PINE VILLA LN, FORT MYERS, FL 33912-1616
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME47526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222744
AMERIGROUP
—
01
—
36426
BC/BS FL
FL
05
—
42996100
—
FL
01
—
50029596
RAILROAD MEDICARE
FL
Enumeration date
01/23/2006
Last updated
02/27/2024
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