Individual
CAROLYN DEGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3001 W MLK BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11011856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118588600
—
FL
01
—
X5K06
BCBS
FL
Enumeration date
03/02/2021
Last updated
01/04/2024
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