Individual
MADELINE CARRION MONTIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 E KENNEDY BLVD, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-8650
Mailing address
1105 E KENNEDY BLVD, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-8650
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9353090
FL
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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