Healthcare Provider Details

I. General information

NPI: 1255245239
Provider Name (Legal Business Name): ARISE HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1579 MAGNOLIA DR
CLEARWATER FL
33756-4422
US

IV. Provider business mailing address

1579 MAGNOLIA DR
CLEARWATER FL
33756-4422
US

V. Phone/Fax

Practice location:
  • Phone: 727-260-1148
  • Fax:
Mailing address:
  • Phone: 727-260-1148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMIE DAWN CARSON
Title or Position: OWNER
Credential: FNP-C
Phone: 727-260-1148