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Individual

MRS. MICHELLE ELIZABETH CARAVELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1273 KASS CIR, SPRING HILL, FL 34606-4308
(352) 683-3866
(352) 683-3867
Mailing address
8050 OLD COUNTY ROAD 54, NEW PORT RICHEY, FL 34653-6457
(727) 375-0600
(727) 371-1117

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
22456
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14430901
CITRUS HMO
FL
01
35514J
WILLCARE
FL
05
891234300
FL
01
Y097B
BCBS
FL
Enumeration date
01/11/2007
Last updated
04/04/2013
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