Individual
CAROLINA GRADVOHL ASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
1825 N CORPORATE LAKES BLVD, WESTON, FL 33326-3211
(954) 349-1111
Mailing address
1825 N CORPORATE LAKES BLVD, WESTON, FL 33326-3211
(954) 349-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9364968
FL
Other
Enumeration date
12/24/2016
Last updated
12/24/2016
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