Individual
CARLA LISBETH MIGLIACCIO SIMOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
302 W FLETCHER AVE, TAMPA, FL 33612-3415
(813) 866-0930
(813) 405-3722
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700347671
NPI
—
Enumeration date
03/25/2019
Last updated
11/02/2022
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