Individual
MRS. DONA D CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1304 AZALEA DRIVE, ST. GEORGE ISLAND, FL 32328-0973
(850) 927-5019
Mailing address
PO BOX 973, EASTPOINT, FL 32328-0973
(850) 927-5019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRV-9007-R/XX/001010
—
FL
Enumeration date
01/08/2009
Last updated
01/08/2009
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