Individual
REBECCA MERRELL CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
12285 SE 70TH AVENUE RD, BELLEVIEW, FL 34420-4673
(352) 470-7565
Mailing address
12285 SE 70TH AVENUE RD, BELLEVIEW, FL 34420-4673
(352) 470-7565
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW408
FL
374J00000X
Doula
—
—
Other
Enumeration date
08/10/2015
Last updated
05/17/2021
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