Fazio, Carla

Fazio, Carla is an individual health care provider with primary practice located at 1309 N Flagler Dr , West Palm Beach FL 33401-3406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fazio, Carla can be contacted via phone (561) 366-4100.

Contact Information

Primary practice address
1309 N Flagler Dr West Palm Beach FL 33401-3406
Phone: (561) 366-4100
Fax: (561) 366-4189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9359211 Florida

Profile Details

NPI number 1013348085
LBN Legal business name Fazio, Carla
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2013
Last updated Nov 15th, 2022 - about 4 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 1013348085 NPPES
Florida MEDICAID 010747500

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