Provider Demographics
NPI:1033351549
Name:CARRAZANA, MANUEL ABEL (ARNP)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:ABEL
Last Name:CARRAZANA
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14543 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3107
Mailing Address - Country:US
Mailing Address - Phone:305-222-9024
Mailing Address - Fax:305-222-9024
Practice Address - Street 1:14543 SW 11TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-3107
Practice Address - Country:US
Practice Address - Phone:305-222-9024
Practice Address - Fax:305-222-9024
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9214041363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health