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Individual

CARMELITA BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 PORTOFINO WAY, APT 209, WEST PALM BEACH, FL 33409-8135
(954) 934-8135
Mailing address
413 N ROSEMARY AVE, WEST PALM BEACH, FL 33401-4133
(954) 934-8135

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1233781
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1744P3200X
FL
Enumeration date
01/10/2014
Last updated
01/10/2014
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