Timothy Martin Carroll CAS

NPI 1285965616 - Counselor - 101YA0400X

NPI Details
NPI 1285965616
Gender Male
Enumeration Date 01/25/2010
Last Updated 01/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1127 S PATRICK DR
SUITE 24
SATELLITE BEACH FL, 32937-3939, US
Phone (321) 773-1111
Fax (321) 773-1692
Business Location
1127 S PATRICK DR
SUITE 24
SATELLITE BEACH FL, 32937-3939, US
Phone (321) 773-1111
Fax (321) 773-1692
Toxanomy
Taxonomy Code 101YA0400X
License State Florida
License Number 1205A
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According to our database, Mr. Timothy Martin Carroll CAS NPI is 1285965616, taxonomy code is 101YA0400X and license number is 1205A, license state is located at Florida. Timothy Martin Carroll CAS physically located at 1127 S Patrick Dr, Satellite Beach FL, 32937-3939. NPI Number Timothy Martin Carroll CAS has the Individual type.

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1285965616 NPI number is provided on an as is basis without warranty of any kind. 1285965616 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Martin Carroll CAS are for informational purposes only.