Individual
CARLA CASTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE, FL 32250-3203
(904) 627-2900
Mailing address
599 HARPER RD, CAIRO, GA 39827-5114
(229) 516-3345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9280372
FL
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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