Individual
CARLA CALONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18316 SW 148TH RD, MIAMI, FL 33187-1923
(786) 804-3305
Mailing address
18316 SW 148TH RD, MIAMI, FL 33187-1923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11036804
FL
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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