CARLY TANNER

TAMPA, FL
NPI1033416565
Former NameCARLY PIRROTTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9105781)
Enumeration Date2011-02-18
Last Update Date2019-07-09
Business Address
CARLY TANNER PA
2835 W DE LEON ST STE 103
TAMPA, FL 33609-4130
Phone number: 813-875-7333
Mailing Address
CARLY TANNER PA
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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