Individual
CAROLYN THERESE LEPAGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6628
(305) 899-3800
(305) 899-3831
Mailing address
1655 N 50TH AVE, HOLLYWOOD, FL 33021-4009
(954) 682-4740
(954) 894-6915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP1767012
FL
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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