Individual
DR. CARL P. EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 W MAIN ST, LAKE BUTLER, FL 32054-1642
(386) 496-3211
(386) 496-1599
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 338-2195
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME53187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048070301
—
FL
Enumeration date
10/04/2006
Last updated
02/17/2017
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