Organization
CAROLYN SCHROEDER CONNELLY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN S CONNELLY M.D. (PRESIDENT)
(813) 870-2100
Entity
Organization
Contact information
Practice address
2919 W SWANN AVE, 404, TAMPA, FL 33609-4038
(813) 870-2100
(813) 870-2125
Mailing address
2919 W SWANN AVE, 404, TAMPA, FL 33609-4038
(813) 870-2100
(813) 870-2125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME51168
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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