Carla Kimberly Fontal
Carla Kimberly Fontal is a Nurse Practitioner in North Port, Florida. Qualified in 2023, 3 years ago. Practices with Stallant Medical Group Inc, a 17-clinician group and accepts Medicare assignment. Licensed in California and Florida.
- Years since qualifying
- 3
- Licensed in
- CA, FL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2520 Zander TerNorth Port, FL 34286-8818
Phone: (941) 586-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence NP95034270 (CA) |
|---|---|
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence RN9452266 (FL) |
Record details
| NPI number | 1114762739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 26, 2024 |
| Last updated in NPPES | June 18, 2025 |
| Certification date | June 18, 2025 |
| Mailing address | 2520 Zander Ter, North Port, FL 34286-8818 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Stallant Medical Group Inc — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |