Individual
ALAN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12141 SHAKESPEARE TRL, DADE CITY, FL 33525-8249
(813) 928-5577
Mailing address
12141 SHAKESPEARE TRL, DADE CITY, FL 33525-8249
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0004396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271517100
—
FL
01
—
82636
BCBS
FL
Enumeration date
03/08/2006
Last updated
11/29/2018
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