Individual
CAROL A IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9264392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009214100
—
FL
Enumeration date
02/11/2013
Last updated
08/30/2022
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