Provider Demographics
NPI:1558590752
Name:CUNNINGHAM, CAROLINA (ARNP)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:CUBILLOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:8618 SW 103RD STREET RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-7705
Mailing Address - Country:US
Mailing Address - Phone:352-304-8980
Mailing Address - Fax:352-304-8985
Practice Address - Street 1:8618 SW 103RD STREET RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-7705
Practice Address - Country:US
Practice Address - Phone:523-048-9803
Practice Address - Fax:352-304-8985
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9235759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily