Individual
CARLOS MARIO MUJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13302 WINDING OAK CT STE A, TAMPA, FL 33612-3425
(813) 930-8424
Mailing address
6747 RALSTON BEACH CIR, TAMPA, FL 33614-4207
(813) 580-2268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11016795
FL
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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