Individual
ELIZABETH D CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4111 LITTLE RD, TRINITY, FL 34655-1743
(727) 938-1908
Mailing address
4111 LITTLE RD, TRINITY, FL 34655-1743
(727) 947-9995
(727) 938-8693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME108731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043236565
GROUP NPI
FL
01
—
1053624221
NPI
FL
Enumeration date
07/16/2010
Last updated
01/13/2023
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