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Individual

CARISSA LYNNE FRONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804
Mailing address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016988-1
NY
363A00000X
Physician Assistant
10771325-1206
UT
363A00000X
Physician Assistant
Primary
9115435
FL

Other

Enumeration date
09/23/2013
Last updated
03/03/2025
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