# ANTONIO M. CARBONELL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL COAST PLASTIC SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821271172
- **Authorized official:** DR. ANTONIO MIGUEL CARBONELL MD (PRESIDENT)
- **Authorized official phone:** (252) 247-0094

## Contact information

- **Practice address:** 215 N 35TH ST, MOREHEAD CITY, NC 28557-3185
- **Practice address phone:** (252) 247-0094
- **Mailing address:** 215 N 35TH ST, MOREHEAD CITY, NC 28557-3185
- **Mailing address phone:** (252) 247-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 27897 | NC | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 12/10/2007