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Organization
PRUSSIAN BLUE HEALTH, WELLNESS AND FITNESS
Active
Organization
PRUSSIAN BLUE HEALTH, WELLNESS AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA PETION NP (FAMILY NURSE PRACTITIONER)
(786) 587-0915
Entity
Organization
Contact information
Practice address
6101 W ATLANTIC BLVD STE 101, MARGATE, FL 33063-5157
(786) 587-0915
(786) 761-9231
Mailing address
6101 W ATLANTIC BLVD STE 101, MARGATE, FL 33063-5157
(786) 587-0915
(786) 761-9231
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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