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Organization
DJC PHYSICAL MEDICINE CONSULTANTS LLC
Active
Organization
DJC PHYSICAL MEDICINE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D'WAN J CARPENTER MD (PRESIDENT)
(609) 980-5627
Entity
Organization
Contact information
Practice address
901 CLEARWATER LARGO RD N, LARGO, FL 33770-4126
(609) 980-5627
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(609) 980-5627
(813) 790-7576
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
11/19/2024
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