Provider Demographics
NPI:1588653968
Name:PILET, CARY MICHELLE (ARNP)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:MICHELLE
Last Name:PILET
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-4628
Mailing Address - Country:US
Mailing Address - Phone:813-831-7413
Mailing Address - Fax:813-399-8865
Practice Address - Street 1:8415 BAYSHORE BLVD
Practice Address - Street 2:6TH MEDICAL GROUP, SOCOM CLINIC
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33621-1607
Practice Address - Country:US
Practice Address - Phone:813-827-9870
Practice Address - Fax:813-828-4436
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2778972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily