Individual
CARMON RAE ANNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
785 PRIMERA BLVD STE 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
(407) 708-1958
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 960-2112
(407) 960-7024
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN9351408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023300
—
FL
01
—
P4210
MEDICARE HF
FL
Enumeration date
07/09/2013
Last updated
12/11/2025
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