Individual
CARLY JEAN COMITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3100 SW 62ND AVE STE 121NE, MIAMI, FL 33155-3009
(305) 663-8595
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 663-8595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11035619
FL
363LF0000X
Family Nurse Practitioner
11035619
FL
Other
Enumeration date
10/02/2024
Last updated
10/03/2024
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