Individual
DR. BRENT RANDALL CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, BOX 100256, GAINESVILLE, FL 32610-0256
(352) 265-7041
Mailing address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-0371
(352) 265-0301
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23325
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016892500
—
FL
Enumeration date
01/23/2007
Last updated
04/21/2016
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