Provider Demographics
NPI:1790534154
Name:MORILLO MANON, KARLA (APRN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:MORILLO MANON
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Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4101 NW 4TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2839
Mailing Address - Country:US
Mailing Address - Phone:954-681-4088
Mailing Address - Fax:954-678-0166
Practice Address - Street 1:4101 NW 4TH ST STE 104
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2839
Practice Address - Country:US
Practice Address - Phone:954-681-4088
Practice Address - Fax:954-678-0166
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2025-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11032783363LA2100X, 363LA2100X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care