Individual provider · NPI-1

Dr. Adriana E. Carbon, M.D.

Family Medicine · Ruskin, FL

NPI number1104855915
StatusActive
Last updated in NPPESAug 13, 2021

Details

NPI
1104855915
Entity type
Individual (NPI-1)
Name
Dr. Adriana E. Carbon
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 2, 2006
Certification date
Aug 13, 2021
Last updated
Aug 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME92564FLYes

Practice location

781 Cypress Village Blvd
Ruskin, FL 33573-6801

Phone 813-633-3600 · Fax 813-634-8210

Mailing address

781 Cypress Village Blvd
Ruskin, FL 33573-6801

Phone 813-633-3600 · Fax 813-634-8210

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