Individual
SAMIRA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
Mailing address
1420 NE MIAMI PL APT 1611, MIAMI, FL 33132-1355
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
PA9112599
FL
Other
Enumeration date
09/26/2019
Last updated
07/01/2022
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