Individual
KARLA MICHELLE MINCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3040 W CYPRESS ST # 103, TAMPA, FL 33609-1615
(813) 789-9332
Mailing address
910 GRAND CRESTA AVE, BRANDON, FL 33511-6533
(813) 789-9332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108482
FL
Other
Enumeration date
07/25/2015
Last updated
02/19/2020
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