Individual
MS. SAMANTHA THEA CARBONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN PMHNP
Contact information
Practice address
1070 SW 85TH AVE, PEMBROKE PINES, FL 33025-5304
(954) 707-3052
Mailing address
1070 SW 85TH AVE, PEMBROKE PINES, FL 33025-5304
(954) 707-3052
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025097351
FL
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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