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Organization

CHARLES L CARR JR DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES L CARR JR. DO (PRESIDENT)
(207) 332-0774
Entity
Organization

Contact information

Practice address
4335 CHEVAL BLVD, LUTZ, FL 33558-5328
(207) 332-0774
Mailing address
3959 VAN DYKE RD # 259, LUTZ, FL 33558-8025
(207) 332-0774

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary

Other

Enumeration date
01/09/2020
Last updated
01/09/2020
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