Healthcare Provider Details

I. General information

NPI: 1295849347
Provider Name (Legal Business Name): CAROL L CANTWELL C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 BEE RIDGE RD SUITE 390
SARASOTA FL
34233-5064
US

IV. Provider business mailing address

5741 BEE RIDGE RD SUITE 390
SARASOTA FL
34233-5064
US

V. Phone/Fax

Practice location:
  • Phone: 941-379-6331
  • Fax: 941-379-5642
Mailing address:
  • Phone: 941-379-6331
  • Fax: 941-379-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN9227622
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN9227622
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: