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Individual

DR. CARL STANTON CITRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9236 NW 18TH ST, PLANTATION, FL 33322-5230
(954) 609-0589
(954) 474-4481
Mailing address
9236 NW 18TH ST, PLANTATION, FL 33322-5230
(954) 609-0589
(954) 474-4481

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME40007
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0488429-01
FL
Enumeration date
10/11/2012
Last updated
10/11/2012
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