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Organization
CHARLES L CARR JR DO PA
Active
Organization
CHARLES L CARR JR DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L CARR JR. DO (PRESIDENT)
(207) 332-0774
Entity
Organization
Contact information
Practice address
4335 CHEVAL BLVD, LUTZ, FL 33558-5328
(207) 332-0774
Mailing address
3959 VAN DYKE RD # 259, LUTZ, FL 33558-8025
(207) 332-0774
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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