Individual
DAPHNE CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 2ND AVE N STE 304, NAPLES, FL 34102-5757
(239) 206-2833
(855) 395-9156
Mailing address
1171 MOCKINGBIRD LN, NAPLES, FL 34104-4252
(786) 512-4050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9120695
FL
363AM0700X
Medical Physician Assistant
Primary
PA61190261
WA
Other
Enumeration date
01/11/2022
Last updated
10/14/2025
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