Individual
CARLINA CARNATION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 571-1314
Mailing address
901 45TH ST, MANGONIA PARK, FL 33407-2413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11030679
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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