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Individual
ANDREW DAVID CARSON
Active
Individual
ANDREW DAVID CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043236565
NPI GROUP NUMBER
FL
01
—
1962733261
NPI NUMBER
FL
01
—
PA9105368
FLORIDA LICENSE
FL
Enumeration date
01/26/2010
Last updated
03/25/2010
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