Individual
MRS. INDYA CARROLL DOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S FLORIDA AVE, LAKELAND, FL 33801-5237
(863) 688-0841
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 291-5110
(863) 291-5128
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9312263
FL
Other
Enumeration date
07/01/2014
Last updated
12/19/2016
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