Individual
SEMIRAMIS CARBAJAL MAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9344 SW 32ND PL, GAINESVILLE, FL 32608-8630
(614) 772-2858
Mailing address
PO BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-8737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME148035
FL
207R00000X
Internal Medicine Physician
TRN23982
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME148035
FL
Other
Enumeration date
01/22/2017
Last updated
07/14/2021
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