Doctor profile · Federal record
Dr. Carolyn Space, CNP
Nurse Practitioner · Eglin, FL
- NPI 1336553585
- 12 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
96 Mdg, 307 Boatner Road
Eglin, FL 32542
(850) 883-9957 - Mailing address
-
96Mdg, 307 Boatner Road Attn: Credentials
Eglin, FL 32542
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- September 24, 2018
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Florida #ARNP9457268
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336553585. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$54
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 3 | $54.00 |
By nature of payment
Frequently asked questions
What is Dr. Carolyn Space's medical specialty?
Dr. Carolyn Space practices Nurse Practitioner in Eglin, FL.
Where does Dr. Carolyn Space practice?
Dr. Carolyn Space practices at 96 Mdg, Eglin, FL 32542. Office phone: 8508839957.
What is Dr. Carolyn Space's NPI?
Dr. Carolyn Space's National Provider Identifier (NPI) is 1336553585, issued by NPPES.