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Individual

CARLI ROSE HIMELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
17 DAVIS BLVD STE 402, TAMPA, FL 33606-3438
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9326789
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZV0L8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2016
Last updated
02/23/2017
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