Carbonelli, Jade Luciana

Carbonelli, Jade Luciana is an individual health care provider with primary practice located at 9170 Oakhurst Rd Ste 1 , Seminole FL 33776-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carbonelli, Jade Luciana can be contacted via phone (813) 321-1786.

Contact Information

Primary practice address
9170 Oakhurst Rd Ste 1 Seminole FL 33776-2112
Phone: (813) 321-1786
Fax: (813) 321-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1619674660
LBN Legal business name Carbonelli, Jade Luciana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2023
Last updated Aug 26th, 2024 - about 2 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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