Individual
CARMEN DANIELA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
603 N FLAMINGO RD, SUITE 357, PEMBROKE PINES, FL 33028-1023
(954) 450-8488
(954) 450-8860
Mailing address
2101 ATLANTIC SHORES BLVD, APT 216, HALLANDALE BEACH, FL 33009-2897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107411
FL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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