Individual
ANAIS CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13515 LAKE TERRACE LN, TAMPA, FL 33637-1003
(813) 998-8000
Mailing address
13515 LAKE TERRACE LN, TAMPA, FL 33637-1003
(813) 998-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME133206
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
03/28/2019
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