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Individual

MS. CARLA MARIA SELLEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
11750 BIRD RD, MIAMI, FL 33175-3530
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3725, AUGUSTA, GA 30914-3725
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9295116
FL
363LF0000X
Family Nurse Practitioner
ARNP9295116
FL

Other

Enumeration date
08/28/2015
Last updated
03/18/2021
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