Individual
CARLA BOHNSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 BEACON DR, 1332 BEACON DR, DAYTONA BEACH, FL 32117-4011
(724) 498-3014
Mailing address
1332 BEACON DR, DAYTONA BEACH, FL 32117-4011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OTA2031
FL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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