Individual
CAROL M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 87, TAMPA, FL 33612-4742
(813) 259-0600
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9196556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y023D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/26/2006
Last updated
03/21/2008
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