Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charmelene Chanthabouasith

Individual provider Physician Assistant · NPI 1750751772

Charmelene Chanthabouasith is a Physician Assistant in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

4278 W Linebaugh Ave
Tampa, FL 33624-5241
Phone: (813) 977-0733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108932 (FL)

Record details

NPI number1750751772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESAugust 1, 2019
Mailing address4278 W Linebaugh Ave, Tampa, FL 33624-5241

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