Carolyn J Macias, MSN APRN FNP BC
Nurse Practitioner, Family in Belleview, FL. Individual provider (NPI-1).
NPI number1851908677
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1851908677
- Entity type
- Individual (NPI-1)
- Name
- Carolyn J Macias
- Credential
- MSN APRN FNP BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11009364 | FL | Yes |
Practice location
11322 Se 55th Avenue Rd Unit 901Belleview, FL 34420-3749
Phone 352-653-8248
Mailing address
11322 Se 55th Avenue Rd Unit 901Belleview, FL 34420-3749
Phone 352-653-8248
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