Carbo, Clarissa Irmina

Carbo, Clarissa Irmina is an individual health care provider with primary practice located at 11760 Sw 40 Street Suite 654, Miami FL 33175-8103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carbo, Clarissa Irmina can be contacted via phone (786) 615-6123.

Contact Information

Primary practice address
11760 Sw 40 Street Suite 654 Miami FL 33175-8103
Phone: (786) 615-6123
Fax: (786) 615-6103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP1227232 Florida

Profile Details

NPI number 1174549703
LBN Legal business name Carbo, Clarissa Irmina
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jun 8th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174549703 NPPES
Florida MEDICAID 033814100

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