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Organization
THOMAS E. CARSON, MD, PA
Active
Organization
THOMAS E. CARSON, MD, PA
Active
Other names
Carson Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E. CARSON M.D. (PRESIDENT/CEO)
(727) 938-1908
Entity
Organization
Contact information
Practice address
4111 LITTLE RD, TRINITY, FL 34655-1743
(727) 938-1908
(727) 938-8693
Mailing address
1259 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3719
(727) 938-1908
(727) 938-8693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME108731
FL
207Q00000X
Family Medicine Physician
ME110547
FL
207Q00000X
Family Medicine Physician
ME36578
FL
207Q00000X
Family Medicine Physician
OS9655
FL
363A00000X
Physician Assistant
PA9105368
FL
363L00000X
Nurse Practitioner
ARNP3391502
FL
363LF0000X
Family Nurse Practitioner
ARNP1658442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002575201
—
FL
01
—
1043236565
NPI GROUP TARPON PRACTICE
FL
01
—
1487926861
NPI GROUP NUMBER TRINITY
FL
Enumeration date
02/01/2012
Last updated
02/15/2016
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