Provider Demographics
NPI:1528867009
Name:VARGAS ARMAS, CAROLA MARINA (APRN)
Entity type:Individual
Prefix:
First Name:CAROLA
Middle Name:MARINA
Last Name:VARGAS ARMAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 EXECUTIVE PARK DR STE 103
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3653
Mailing Address - Country:US
Mailing Address - Phone:954-289-7636
Mailing Address - Fax:
Practice Address - Street 1:2751 EXECUTIVE PARK DR STE 103
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3653
Practice Address - Country:US
Practice Address - Phone:954-289-7636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11195133N00000X
FL11036942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No133N00000XDietary & Nutritional Service ProvidersNutritionist