John, Charmain Carol

John, Charmain Carol is an individual health care provider with primary practice located at 17325 Pagonia Rd , Clermont FL 34711-6008. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. John, Charmain Carol can be contacted via phone (407) 905-6014.

Contact Information

Primary practice address
17325 Pagonia Rd Clermont FL 34711-6008
Phone: (407) 905-6014
Fax: (407) 636-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9199463 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9199463 Florida

Profile Details

NPI number 1598196925
LBN Legal business name John, Charmain Carol
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2013
Last updated Feb 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598196925 NPPES
Florida MEDICAID 010691400

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