Individual
CARRIE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5356 KINGFISHERS CT, TALLAHASSEE, FL 32303-8918
(850) 524-4921
Mailing address
5356 KINGFISHERS CT, TALLAHASSEE, FL 32303-8918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5199913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686606996
MEDICAID NUMBER
FL
05
—
686606998
—
FL
Enumeration date
05/25/2012
Last updated
05/25/2012
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