Provider Demographics
NPI:1477938421
Name:CARMONA, KATIA (ARNP)
Entity Type:Individual
Prefix:
First Name:KATIA
Middle Name:
Last Name:CARMONA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Mailing Address - Street 1:11880 SW 40TH ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3584
Mailing Address - Country:US
Mailing Address - Phone:305-223-8808
Mailing Address - Fax:305-223-8974
Practice Address - Street 1:9035 SUNSET DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3484
Practice Address - Country:US
Practice Address - Phone:305-279-3366
Practice Address - Fax:305-271-3355
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9286776207K00000X
FLAPRN9286776363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology