MEDICARE: TWYLA D CARLEY APRN

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	363LF0000X	Family Nurse Practitioner	11000555	FL

General Provider Information

NPI Number	:	1801438486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TWYLA D CARLEY APRN

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2051
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1586 BRANAN FIELD RD
Second Line	:
City	:	MIDDLEBURG
State	:	FL
Zip	:	32068-8427
Country	:	US
Telephone Number	:	904-282-8000
Fax Number	:	904-282-8044

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

Provider Enumeration Date	:	10/15/2019
Last Update Date	:	02/13/2026

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