Individual
CARLA KIMBERLY FONTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 ZANDER TER, NORTH PORT, FL 34286-8818
(941) 586-8160
Mailing address
2520 ZANDER TER, NORTH PORT, FL 34286-8818
(941) 586-8160
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9452266
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95034270
CA
Other
Enumeration date
06/26/2024
Last updated
06/18/2025
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