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Provider Information for 1124529094

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MARCELLA ALEXANDRIA CARO APRN

Gender: FEMALE

Individual NPI: 1124529094

Calendar   Last Updated:  2021-10-06
  Certification Date:  2021-10-06

Details

Name Value
NPI 1124529094
Enumeration Date 2018-02-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4371 VERONICA S SHOEMAKER BLVD
FORT MYERS, FL 33916-2216
United States

Phone: 239-274-8200 | Fax:
View Map External Link
Primary Practice Address 1201 5TH AVE N STE 505
ST PETERSBURG, FL 33705-1455
United States

Phone: 727-821-0017 | Fax: 727-822-7473
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363L00000X - Nurse Practitioner FL APRN9344021