MEDICARE: ALLY BREE CARROLL 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	11038952	FL

General Provider Information

NPI Number	:	1922938000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLY BREE CARROLL APRN

Provider Business Mailing Address
First Line	:	7361 N IRELAND DR
Second Line	:
City	:	CITRUS SPRINGS
State	:	FL
Zip	:	34434-7417
Country	:	US
Telephone Number	:	352-587-4244
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 HIGHWAY 466
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-3722
Country	:	US
Telephone Number	:	866-492-3627
Fax Number	:

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ ALLY BREE CARROLL APRN” Practice Location

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