Individual
CARLINE SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11211 S MILITARY TRL APT 3912, BOYNTON BEACH, FL 33436-7233
(954) 756-3100
Mailing address
10122 STONEHENGE CIR APT 606, BOYNTON BEACH, FL 33437-3544
(954) 756-3100
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
11002647
FL
208M00000X
Hospitalist Physician
11002647
FL
363L00000X
Nurse Practitioner
11002647
FL
Other
Enumeration date
06/06/2019
Last updated
11/18/2022
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