Provider Demographics
NPI:1083878698
Name:PARDO, CARLOS ALBERTO (ARNP)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:ALBERTO
Last Name:PARDO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 SW 131ST WAY APT N-404
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027
Mailing Address - Country:US
Mailing Address - Phone:954-864-8866
Mailing Address - Fax:954-697-0886
Practice Address - Street 1:6738 W SUNRISE BLVD SUITE 106
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6453
Practice Address - Country:US
Practice Address - Phone:954-625-0587
Practice Address - Fax:954-697-0886
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9248458363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily