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Individual

DR. CAROLINA VAC NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7751 9TH ST N STE 10, ST PETERSBURG, FL 33702-1102
(727) 521-2424
(727) 521-2425
Mailing address
7751 9TH ST N STE 10, ST PETERSBURG, FL 33702-1102
(727) 521-2424
(727) 521-2425

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME125387
FL
207Q00000X
Family Medicine Physician
TRN20292
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022106900
FL
Enumeration date
05/23/2014
Last updated
07/11/2022
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