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Individual

MS. CLARISSA IRMINA CARBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
11760 SW 40 STREET, SUITE 654, MIAMI, FL 33175-8103
(786) 615-6123
(786) 615-6103
Mailing address
11760 SW 40TH ST, SUITE 654, MIAMI, FL 33175-3582
(786) 615-6123
(786) 615-6103

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP1227232
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033814100
FL
Enumeration date
07/15/2006
Last updated
06/08/2015
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