Provider Demographics
NPI:1922464619
Name:CARSON, BRITTANY COBB (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:COBB
Last Name:CARSON
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 1:209 FRENCHMANS CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-1810
Mailing Address - Country:US
Mailing Address - Phone:863-412-5075
Mailing Address - Fax:
Practice Address - Street 1:300 S PARK RD
Practice Address - Street 2:SUITE 400
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8593
Practice Address - Country:US
Practice Address - Phone:863-412-5075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9253326363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner