Provider Demographics
NPI:1932490638
Name:DENONNO, CAROLYNE B (CL,ASCP,COE)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYNE
Middle Name:B
Last Name:DENONNO
Suffix:
Gender:F
Credentials:CL,ASCP,COE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 WEDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-7183
Mailing Address - Country:US
Mailing Address - Phone:352-391-1400
Mailing Address - Fax:
Practice Address - Street 1:3465 WEDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-7183
Practice Address - Country:US
Practice Address - Phone:352-391-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCL1195298174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist