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Michaela Brooke Carson

NPI Registration Record

Provider / OrganizationNPIDate Certified
MICHAELA BROOKE CARSON15983582692021-02-14

Michaela Brooke Carson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598358269. Registration indicates Michaela Brooke Carson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Michaela Brooke Carson
Practice Office Address97 GULFWINDS DR W
PALM HARBOR, FL US
Practice Office Telephone7279463662
Mailing Address97 GULFWINDS DR W
PALM HARBOR, FL 346831315 US
Business Telephone7279463662
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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