Individual
CARLA PETION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 LANTANA RD STE 110115, LAKE WORTH, FL 33463-6998
(305) 266-2929
Mailing address
3551 MORNINGSIDE PL, COCONUT CREEK, FL 33073-2250
(786) 587-0915
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11023417
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11023417
FL
Other
Enumeration date
03/01/2024
Last updated
01/23/2025
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