Individual
CARSON TYLER HAUSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4499
(561) 308-8620
Mailing address
1814 SEAY CT, TALLAHASSEE, FL 32303-3268
(561) 308-8620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007726
FL
Other
Enumeration date
03/16/2020
Last updated
06/23/2020
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