Individual
TIMOTHY GLENN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8331 N DAVIS HWY, PENSACOLA, FL 32514-6094
(850) 505-4700
(850) 505-4711
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
28346
OK
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME158862
FL
Other
Enumeration date
10/10/2006
Last updated
05/23/2024
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