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Individual

MS. CARYLE LYNE CLYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-BC

Contact information

Practice address
7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935
Mailing address
7890 SUMMERLIN LAKES DR, SUITE 3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3285992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001329200
FL
05
008470600
FL
05
052728900
FL
Enumeration date
07/08/2009
Last updated
07/01/2013
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