Healthcare Provider Details

I. General information

NPI: 1467085142
Provider Name (Legal Business Name): MUSCULOSKELETAL INSTITUTE CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 N MCMULLEN BOOTH RD STE 100
CLEARWATER FL
33761-2008
US

IV. Provider business mailing address

3131 N MCMULLEN BOOTH RD STE 100
CLEARWATER FL
33761-2008
US

V. Phone/Fax

Practice location:
  • Phone: 727-787-5577
  • Fax:
Mailing address:
  • Phone: 727-787-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RAVI CHARI
Title or Position: CEO
Credential:
Phone: 813-978-9700