Individual provider · Type 1 NPI

Savanna Carroll

Student in an Organized Health Care Education/Training Program · Live Oak, FL

NPI number 1114823622 Active

Practice location

1426 Canyon Ave NE Ste C
Live Oak, FL 32064-4832

Mailing address

3243 County Road 249
Live Oak, FL 32060-8164

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114823622

Savanna Carroll's National Provider Identifier is 1114823622, issued on Oct 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Live Oak, FL. The record was last updated on Oct 20, 2026.