Michael Anthony Carbonell
Student in an Organized Health Care Education/Training Program in Memphis, TN. Individual provider (NPI-1).
NPI number1134076367
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1134076367
- Entity type
- Individual (NPI-1)
- Name
- Michael Anthony Carbonell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2026
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TN | Yes |
Practice location
910 Madison AveMemphis, TN 38103-3403
Phone 901-448-5560
Mailing address
910 Madison AveMemphis, TN 38103-3403
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