Organization
EDUARDO CARMONA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO CARMONA MD (OWNER)
(941) 815-0316
Entity
Organization
Contact information
Practice address
20020 VETERANS BLVD, SUITE 12, PORT CHARLOTTE, FL 33954-2112
(941) 815-0316
(941) 347-7282
Mailing address
PO BOX 510083, PUNTA GORDA, FL 33951-0083
(941) 815-0316
(941) 347-7282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME98606
FL
Other
Enumeration date
05/26/2009
Last updated
08/17/2009
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