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Individual

CARLA C CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
9112 LAKE LOTTA CIR, GOTHA, FL 34734-5042
(407) 697-7429
Mailing address
9112 LAKE LOTTA CIR, GOTHA, FL 34734-5042
(407) 697-7429

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9335292
FL

Other

Enumeration date
07/09/2018
Last updated
02/14/2019
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