Individual
DR. KACIE BRICE CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
760 71ST AVE N, ST PETERSBURG, FL 33702-5812
(727) 409-1184
Mailing address
760 71ST AVE N, ST PETERSBURG, FL 33702-5812
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138121
FL
Other
Enumeration date
02/13/2022
Last updated
05/26/2022
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