Individual
DR. MICHAEL C. CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16230 SUMMERLIN RD STE 215, FORT MYERS, FL 33908-5769
(239) 343-7474
(239) 343-4190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1500
(239) 424-1423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD065637L
PA
208800000X
Urology Physician
ME120545
FL
2088P0231X
Pediatric Urology Physician
Primary
ME120545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001699548
—
PA
05
—
013251000
—
FL
Enumeration date
10/24/2006
Last updated
11/12/2021
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