Individual
MR. DAVID EARL CARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
495 S NOVA RD STE 113, ORMOND BEACH, FL 32174-8470
(386) 677-4300
(386) 615-9216
Mailing address
495 S NOVA RD STE 113, ORMOND BEACH, FL 32174-8470
(386) 677-4300
(386) 615-9216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2188
FL
235Z00000X
Speech-Language Pathologist
SA6520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161730200
US DEPARTMENT OF LABOR
FL
01
—
1699893
GHI
FL
01
—
5132624
AETNA
FL
01
—
PT2188
PT LICENSE NUMBER
FL
Enumeration date
09/13/2007
Last updated
02/15/2021
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