Healthcare Provider Details

I. General information

NPI: 1467387944
Provider Name (Legal Business Name): CARRESSA BALL RMA, CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 POWDER VIEW DR
RUSKIN FL
33570-6318
US

IV. Provider business mailing address

404 POWDER VIEW DR
RUSKIN FL
33570-6318
US

V. Phone/Fax

Practice location:
  • Phone: 813-291-6914
  • Fax:
Mailing address:
  • Phone: 813-291-6914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number26-CPT857
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: