Provider Demographics
NPI:1902342629
Name:CARRE, MARGARITA VERONIQUE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:VERONIQUE
Last Name:CARRE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3927 ROSEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-1034
Mailing Address - Country:US
Mailing Address - Phone:407-292-2200
Mailing Address - Fax:407-292-8210
Practice Address - Street 1:410 SW 75TH WAY
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-1370
Practice Address - Country:US
Practice Address - Phone:954-338-6878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9233456363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner