Derek Mccarron

NPI 1154643104 - Counselor - 101YM0800X

NPI Details
NPI 1154643104
Gender Male
Enumeration Date 02/18/2010
Last Updated 02/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5707 N 22ND ST
TAMPA FL, 33610-4350, US
Phone (813) 272-2878
Fax (813) 272-3766
Business Location
5707 N 22ND ST
TAMPA FL, 33610-4350, US
Phone (813) 272-2878
Fax (813) 272-3766
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH10001
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According to our database, Derek Mccarron NPI is 1154643104, taxonomy code is 101YM0800X and license number is MH10001, license state is located at Florida. Derek Mccarron physically located at 5707 N 22nd St, Tampa FL, 33610-4350. NPI Number Derek Mccarron has the Individual type.

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1154643104 NPI number is provided on an as is basis without warranty of any kind. 1154643104 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Mccarron are for informational purposes only.