Giddings, Carmen Lucy

Giddings, Carmen Lucy is an individual health care provider with primary practice located at 1733 David Walker Dr , Tavares FL 32778-5745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Giddings, Carmen Lucy can be contacted via phone (352) 508-1830.

Contact Information

Primary practice address
1733 David Walker Dr Tavares FL 32778-5745
Phone: (352) 508-1830
Fax: (352) 720-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103528 Florida

Profile Details

NPI number 1912913799
LBN Legal business name Giddings, Carmen Lucy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated May 17th, 2021 - about 3 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 1912913799 NPPES
Florida Other PA9103528 LICENSE NO.

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