CARBON HEALTH PRIMARY CARE OF FLORIDA PA NPI 1396400198

NPI Information

CARBON HEALTH PRIMARY CARE OF FLORIDA PA is a primary care clinic center in Columbus, OH. CARBON HEALTH PRIMARY CARE OF FLORIDA PA NPI is 1396400198. The provider is registered as an organization entity type.

The provider's business location address is:

1603 W LANE AVE # C168
COLUMBUS, OH
ZIP 43221-924
Phone: (614) 647-9646

The provider's authorized official is Gianna Papa .
The authorized official title is Credentialing Manager and has the following contact phone number (617) 894-1718.

The CLIA number assigned to this NPI record is 36D2226240 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2021 and was last updated on 11/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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