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Contact Information

MARIA I CARROLL
13150 VAIL RIDGE DR
RIVERVIEW, FL33579-7187
 Phone: 813-374-8883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARIA I CARROLL · (Female)

NPI Number 1508610700
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2024
Last updated 04/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 11032128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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