Individual
GREGORY GLEN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
2435 US HIGHWAY 19 STE 300, HOLIDAY, FL 34691-3909
(877) 202-1191
(866) 691-3219
Mailing address
4138 CHARLES CIR, PACE, FL 32571-8850
(850) 510-8816
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT4094
FL
Other
Enumeration date
05/23/2017
Last updated
06/16/2018
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