Individual
TOMMY LEE CARSTARPHEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
9920 JONAS SALK DR APT 318, RIVERVIEW, FL 33578-7435
(813) 447-3738
Mailing address
9920 JONAS SALK DR APT 318, RIVERVIEW, FL 33578-7435
(813) 447-3738
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
21-9192
FL
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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