Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | VM10676 | FL |
NPI | 1013542364 |
---|---|
Provider Name | Dr. Michelle Carnes |
First Address | Naples, FL 34119-8105 |
Second Address | Naples, FL 34119-8105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2020 |
Last Update Date | 06/03/2020 |