Carlianne Wells PA-C

NPI 1528359460 - Physician Assistant - 363A00000X

NPI Details
NPI 1528359460
Gender Female
Enumeration Date 04/26/2011
Last Updated 04/26/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
100 SE 15TH AVE
FORT LAUDERDALE FL, 33301-3908, US
Phone (954) 983-1899
Fax (954) 986-6846
Business Location
1610 NE 1ST ST
#4
FORT LAUDERDALE FL, 33301-3868, US
Phone (850) 509-2243
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9105887
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According to our database, Carlianne Wells PA-C NPI is 1528359460, taxonomy code is 363A00000X and license number is PA9105887, license state is located at Florida. Carlianne Wells PA-C physically located at 100 Se 15th Ave, Fort Lauderdale FL, 33301-3908. NPI Number Carlianne Wells PA-C has the Individual type.

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1528359460 NPI number is provided on an as is basis without warranty of any kind. 1528359460 is maintained by the National Plan & Provider Enumeration System. The contents of Carlianne Wells PA-C are for informational purposes only.