Individual
MARIA T. CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
2126 1ST AVE S, SAINT PETERSBURG, FL 33712-1204
(727) 289-4747
Mailing address
2621 1ST AVE S, SAINT PETERSBURG, FL 33712-1107
(727) 289-4747
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
SU26535
FL
Other
Enumeration date
05/16/2019
Last updated
06/11/2019
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