Healthcare Provider Details

I. General information

NPI: 1942340153
Provider Name (Legal Business Name): CAROL LYNN MONECK R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 7TH AVE S
ST PETERSBURG FL
33701-4820
US

IV. Provider business mailing address

3897 102ND PL N
CLEARWATER FL
33762-5487
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-4403
  • Fax: 727-767-4715
Mailing address:
  • Phone: 727-572-0560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN 1008262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: