Individual
DR. JUAN CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 RIVERSIDE DR., STE 102, CORAL SPRINGS, FL 33071
(954) 345-4333
(954) 345-4334
Mailing address
722 RIVERSIDE DR, CORAL SPRINGS, FL 33071-7008
(954) 345-4333
(954) 345-4334
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME74051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253170400
—
FL
Enumeration date
07/10/2006
Last updated
05/13/2011
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