Individual
MARIA INES CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13150 VAIL RIDGE DR, RIVERVIEW, FL 33579-7187
(813) 374-8883
Mailing address
11303 CALLAWAY POND DR, RIVERVIEW, FL 33579-2348
(954) 651-3084
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11032128
FL
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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