Individual
CARLY CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD STE 105, PORT SAINT LUCIE, FL 34986-4527
(772) 336-2818
(772) 336-5313
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 967-6400
(954) 967-8060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11045957
FL
Other
Enumeration date
04/02/2026
Last updated
05/06/2026
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