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1265191803
CARLOS MARIO MUJICA
TAMPA, FL
NPI
1265191803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11016795)
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
CARLOS MARIO MUJICA APRN
13302 WINDING OAK CT STE A
TAMPA, FL 33612-3425
Phone number: 813-930-8424
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Mailing Address
CARLOS MARIO MUJICA APRN
6747 RALSTON BEACH CIR
TAMPA, FL 33614-4207
Phone number: 813-580-2268
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