Provider Demographics
NPI:1861114308
Name:STRANNIGAN, CARLA (AP)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:STRANNIGAN
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 S OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2830
Mailing Address - Country:US
Mailing Address - Phone:786-496-0826
Mailing Address - Fax:
Practice Address - Street 1:3001 S OCEAN DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2830
Practice Address - Country:US
Practice Address - Phone:786-496-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4488171100000X
FLMA59786225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist