Individual
DANA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747
Mailing address
PO BOX 576, TAVARES, FL 32778-0576
(352) 978-2239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3409322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020281000
—
FL
Enumeration date
01/04/2016
Last updated
04/04/2018
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