Individual
KARMELITA FAZLOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
2831 RINGLING BLVD STE 124F, SARASOTA, FL 34237-5354
(941) 952-3999
(941) 217-4990
Mailing address
2831 RINGLING BLVD STE 124F, SARASOTA, FL 34237-5354
(941) 952-3999
(941) 217-4990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774581
—
FL
Enumeration date
12/13/2019
Last updated
12/13/2019
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