Organization
CARLTON R. VOLLBERG M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA MARIE VOLLBERG (OFFICE SUPERVISOR)
(941) 743-4445
Entity
Organization
Contact information
Practice address
2852 TAMIAMI TRL STE 6, PORT CHARLOTTE, FL 33952-5100
(941) 743-4445
(941) 743-4287
Mailing address
2852 TAMIAMI TRL STE 6, PORT CHARLOTTE, FL 33952-5100
(941) 743-4445
(941) 743-4287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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