Individual
CARLA MAE SPIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1416 POPE PL, LUTZ, FL 33549-5459
(813) 601-8701
Mailing address
1416 POPE PL, LUTZ, FL 33549-5459
(813) 601-8701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1378442
FL
Other
Enumeration date
11/17/2005
Last updated
03/30/2017
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