Individual
MARC BRYAN CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
410 CELEBRATION PL STE 302, CELEBRATION, FL 34747-5435
(407) 303-3824
(407) 303-3825
Mailing address
410 CELEBRATION PL STE 302, CELEBRATION, FL 34747-5435
(407) 303-3824
(407) 303-3825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108980
FL
Other
Enumeration date
09/15/2015
Last updated
01/18/2018
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