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Individual

CARRIE ANN SKAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4710 S FLORIDA AVE, LAKELAND, FL 33813-2165
(863) 284-5000
(863) 284-6824
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE DEPT, LAKELAND, FL 33805-4543

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP010085
PA
363LF0000X
Family Nurse Practitioner
Primary
ARNP9406981
FL
363LF0000X
Family Nurse Practitioner
SP010085
PA

Other

Enumeration date
12/15/2008
Last updated
05/24/2016
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