Most Relevant Information
Provider Data
| NPI Number: | 1003177650 |
| Provider Name: | CARMELLE ALEXIS CASIMIR ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9225498 |
Most Important Dates
| Enumeration Date: | 05/30/2012 |
| Last Updated: | 11/16/2023 |
Provider Practice Location
1776 N PINE ISLAND RD STE 106
PLANTATION
FL
333225200
Practice Location Phone/Fax
| Phone: | 9543763739 |
| Fax: | 8556186655 |
Provider Mailing Location
PO BOX 639295 DEPT 93394
CINCINNATI
OH
452639295
Provider Mailing Phone/Fax
| Phone: | 2482664200 |
| Fax: | 8556186655 |