Healthcare Provider Details

I. General information

NPI: 1255187258
Provider Name (Legal Business Name): CAROLINA LOVETT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N RING AVE STE 400
TARPON SPRINGS FL
34689-4365
US

IV. Provider business mailing address

30 N RING AVE STE 400
TARPON SPRINGS FL
34689-4365
US

V. Phone/Fax

Practice location:
  • Phone: 888-529-7702
  • Fax:
Mailing address:
  • Phone: 727-212-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024372
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11037838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: