Individual
BETSY S CARRASQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5381 PRIMROSE LAKE CIR, TAMPA, FL 33647-3521
(813) 615-2488
Mailing address
111 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33801-5607
(863) 680-4111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11034568
FL
Other
Enumeration date
08/14/2024
Last updated
02/27/2025
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