Individual
CARLENE HAMILTON MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15743 SW 21ST ST, MIRAMAR, FL 33027-4201
(954) 534-4693
Mailing address
15743 SW 21ST ST, MIRAMAR, FL 33027-4201
(954) 534-4693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021609
CA
363LP2300X
Primary Care Nurse Practitioner
ARNP9202413
FL
Other
Enumeration date
08/30/2018
Last updated
02/14/2023
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