Most Relevant Information
Provider Data
| NPI Number: | 1003228131 |
| Provider Name: | CAROLINA VAC NELSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | TRN20292 |
Most Important Dates
| Enumeration Date: | 05/23/2014 |
| Last Updated: | 07/11/2022 |
Provider Practice Location
7751 9TH ST N STE 10
ST PETERSBURG
FL
337021102
Practice Location Phone/Fax
| Phone: | 7275212424 |
| Fax: | 7275212425 |
Provider Mailing Location
7751 9TH ST N STE 10
ST PETERSBURG
FL
337021102
Provider Mailing Phone/Fax
| Phone: | 7275212424 |
| Fax: | 7275212425 |
Suggested EMR
Family Practice EMR