Individual
CARLIANNE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 SE 15TH AVE, FORT LAUDERDALE, FL 33301-3908
(954) 983-1899
(954) 986-6846
Mailing address
1610 NE 1ST ST, #4, FORT LAUDERDALE, FL 33301-3868
(850) 509-2243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105887
FL
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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