Individual
MS. CAROL PHYLLIS VANPUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
(850) 385-0146
Mailing address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
(850) 385-0146
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA253
FL
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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