George William Carroll MD

NPI 1073644985 - Internal Medicine - 207R00000X

NPI Details
NPI 1073644985
Gender Male
Enumeration Date 03/09/2007
Last Updated 09/22/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
100 EAST SYBELIA AVE
SUITE 140
MAITLAND FL, 32751-4750, US
Phone (407) 894-9959
Fax
Business Location
100 EAST SYBELIA AVENUE
SUITE 140
MAITLAND FL, 32751-4750, US
Phone (407) 894-9959
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME48111
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According to our database, George William Carroll MD NPI is 1073644985, taxonomy code is 207R00000X and license number is ME48111, license state is located at Florida. George William Carroll MD physically located at 100 East Sybelia Ave, Maitland FL, 32751-4750. NPI Number George William Carroll MD has the Individual type.

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1073644985 NPI number is provided on an as is basis without warranty of any kind. 1073644985 is maintained by the National Plan & Provider Enumeration System. The contents of George William Carroll MD are for informational purposes only.