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Individual

CARLA JEANNETTE OSIGIAN PROBST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11390 SUMMERLIN SQUARE DR, FORT MYERS BEACH, FL 33931-5300
(239) 343-8880
(239) 343-4213
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8880
(239) 343-4213

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME140188
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
ME140188
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025009600
FL
Enumeration date
06/22/2015
Last updated
11/05/2024
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