MEDICARE: CARLA E COLE ARNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	ARNP 9220798	FL

General Provider Information

NPI Number	:	1568560365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA E COLE ARNP-C

Provider Business Mailing Address
First Line	:	29750 US HIGHWAY 19 N STE 207
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-1510
Country	:	US
Telephone Number	:	727-799-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	29750 US HIGHWAY 19 N STE 207
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-1510
Country	:	US
Telephone Number	:	727-799-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/15/2017

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