Individual
CARLY DELBERT FIORAMANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13 N MAIN AVE, LAKE PLACID, FL 33852-2603
(863) 659-1079
(863) 659-1317
Mailing address
276 S HUNTLEY DR, LAKE PLACID, FL 33852-6978
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9302815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016664500
—
FL
01
—
DQEAD
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/01/2016
Last updated
10/26/2021
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