Individual
MRS. CARLA D. GAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4109 W MANGO AVE, TAMPA, FL 33616-1220
(850) 567-5524
Mailing address
4109 W MANGO AVE, TAMPA, FL 33616-1220
(850) 567-5524
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9230227
FL
Other
Enumeration date
01/03/2019
Last updated
01/08/2019
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