Individual
EMILY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1447 MEDICAL PARK BLVD STE 101, WELLINGTON, FL 33414-3164
(561) 844-0120
Mailing address
1447 MEDICAL PARK BLVD STE 101, WELLINGTON, FL 33414-3164
(561) 844-0120
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9110715
PA LICENSE
FL
Enumeration date
10/03/2017
Last updated
03/17/2018
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