Christopher Patrick Carroll MD

NPI 1003918673 - Family Medicine - 207Q00000X

NPI Details
NPI 1003918673
Gender Male
Enumeration Date 09/02/2006
Last Updated 12/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
820 PRUDENTIAL DR
SUITE 304
JACKSONVILLE FL, 32207-8210, US
Phone (904) 348-0974
Fax (904) 348-5627
Business Location
PO BOX 44004
JACKSONVILLE FL, 32231-4004, US
Phone (904) 202-1032
Fax (904) 348-5627
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME95430
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According to our database, Christopher Patrick Carroll MD NPI is 1003918673, taxonomy code is 207Q00000X and license number is ME95430, license state is located at Florida. Christopher Patrick Carroll MD physically located at 820 Prudential Dr, Jacksonville FL, 32207-8210. NPI Number Christopher Patrick Carroll MD has the Individual type.

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1003918673 NPI number is provided on an as is basis without warranty of any kind. 1003918673 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Patrick Carroll MD are for informational purposes only.