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1033416565
CARLY TANNER
TAMPA, FL
NPI
1033416565
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Former Name
CARLY PIRROTTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9105781)
Enumeration Date
2011-02-18
Last Update Date
2019-07-09
Business Address
CARLY TANNER PA
2835 W DE LEON ST STE 103
TAMPA, FL 33609-4130
Phone number: 813-875-7333
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Mailing Address
CARLY TANNER PA
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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