Individual
DR. CHARISSE JEANINE HUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
807 N MYRTLE AVE, CLEARWATER, FL 33755-4254
(727) 467-2400
(727) 467-2477
Mailing address
807 N MYRTLE AVE, CLEARWATER, FL 33755-4254
(727) 467-2400
(727) 467-2477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002590300
—
FL
01
—
P00915752
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
08/24/2007
Last updated
09/20/2022
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