Individual
CORY ROBERT CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1222 S ORANGE AVE FL 5, ORLANDO, FL 32806-1215
(321) 841-1692
(321) 843-1791
Mailing address
1222 S ORANGE AVE FL 5, ORLANDO, FL 32806-1215
(321) 841-1692
(321) 843-1791
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS18677
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2018
Last updated
12/31/2022
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