Individual
MR. RAMON LEONARD CARROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 WEST CIRCLE DR, CLEWISTON, FL 33440
(863) 301-5450
(863) 301-5430
Mailing address
224 WEST CIRCLE DR, CLEWISTON, FL 33440
(239) 565-9437
(863) 301-5430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME97506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277596400
—
FL
01
—
AG739Z
MEDICARE PTAN
FL
Enumeration date
08/02/2005
Last updated
11/10/2025
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