Individual
CARLA CRISTINA MINIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 MADACA LN, TAMPA, FL 33618-2048
(813) 280-7407
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2023
Last updated
08/29/2023
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