Individual provider · Type 1 NPI

Carlos A. Bacallao, ARNP

Adult Health Nurse Practitioner · Homestead, FL

NPI number 1043736176 Active

Practice location

704 Washington Ave
Homestead, FL 33030-6012

Mailing address

167 W 23rd St
Hialeah, FL 33010-2211

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XARNP9271517 (FL)
Family Medicine Physician 207Q00000XARNP9271517 (FL)

Adult Health Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1043736176

Carlos A. Bacallao, ARNP's National Provider Identifier is 1043736176, issued on Aug 21, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Homestead, FL. The record was last updated on Oct 3, 2019.