Takis, Carol L

Takis, Carol L is an individual health care provider with primary practice located at 1135 Lake Ave , Clermont FL 34711. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Takis, Carol L can be contacted via phone (352) 394-4035.

Contact Information

Primary practice address
1135 Lake Ave Clermont FL 34711
Phone: (352) 394-4035
Fax: (352) 241-0896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA9103292 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103292 Florida

Profile Details

NPI number 1922178706
LBN Legal business name Takis, Carol L
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Apr 22nd, 2020 - about 6 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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