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NPI Code Detail

MEDICARE: MS. CAROL LOUISE NEGOSHIAN ARNP-C

MEDICARE:  MS. CAROL LOUISE NEGOSHIAN  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
1363LF0000XFamily Nurse PractitionerAPRN1003832FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639415854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL LOUISE NEGOSHIAN ARNP-C
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-1355
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 36245 HWY 27
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-3744
Country : US
Telephone Number : 863-421-9801
Fax Number : 863-421-9364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2012
Last Update Date : 08/16/2024

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Directions to “ MS. CAROL LOUISE NEGOSHIAN ARNP-C” Practice Location

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