Individual
CARLY MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
216 E EAU GALLIE BLVD STE A, INDIAN HARBOUR BEACH, FL 32937-4874
(321) 549-0153
(321) 434-3682
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 549-0153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11034678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WS315
HFMG
FL
Enumeration date
08/19/2024
Last updated
06/30/2026
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