Individual
CARLY MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-7777
Mailing address
275 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3529
(321) 799-7777
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
01/07/2026
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