Bourne, Carla Inez

Bourne, Carla Inez is an individual health care provider with primary practice located at 13127 Usf Magnolia Dr Mdc21, Tampa FL 33612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bourne, Carla Inez can be contacted via phone (813) 974-2064.

Contact Information

Primary practice address
13127 Usf Magnolia Dr Mdc21 Tampa FL 33612
Phone: (813) 974-2064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME107148 Florida

Profile Details

NPI number 1073707840
LBN Legal business name Bourne, Carla Inez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Jan 7th, 2015 - about 11 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 1073707840 NPPES
Florida MEDICAID 002245800
Florida Other 149KG

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