Organization
OCTAVIO CARRENO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE ADKINS (OFFICE MANAGER)
(904) 272-3200
Entity
Organization
Contact information
Practice address
2035 PROFESSIONAL CENTER DR, SUITE A, ORANGE PARK, FL 32073-4492
(904) 272-3200
(904) 272-3211
Mailing address
2035 PROFESSIONAL CENTER DR, SUITE A, ORANGE PARK, FL 32073-4492
(904) 272-3200
(904) 272-3211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78105
FL
Other
Enumeration date
06/04/2007
Last updated
01/28/2008
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