Individual
CAROL J BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4700 N HABANA AVE, SUITE 103, TAMPA, FL 33614-7160
(813) 348-0224
(813) 872-6792
Mailing address
2513 W KANSAS AVE, UNIT C, TAMPA, FL 33629-6297
(715) 573-6551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9252002
FL
Other
Enumeration date
07/13/2006
Last updated
05/29/2008
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