Individual
DR. CHARLES AYRTON BISBEE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13602 PINE VILLA LN, FORT MYERS, FL 33912-1616
(239) 410-4696
Mailing address
720 W OAK ST STE 201, KISSIMMEE, FL 34741-4998
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20321
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
07/19/2023
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