Individual
MRS. CARLISA D EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3224 OAKLEY AVE S, ST PETERSBURG, FL 33712-1840
(727) 430-2499
Mailing address
3224 OAKLEY AVE S, ST PETERSBURG, FL 33712-1840
(727) 430-2499
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
234432
FL
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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