Individual
CARLA D FUENTES-BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20 E MELBOURNE AVE STE 101, MELBOURNE, FL 32901-5970
(321) 312-1167
(321) 312-1201
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9191793
FL
Other
Enumeration date
07/19/2010
Last updated
06/24/2025
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