Individual
CARLOS ENRIQUE CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 S FLORIDA ST, BUSHNELL, FL 33513-6703
(352) 787-1600
(352) 793-3282
Mailing address
212 S FLA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
(888) 599-2061
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1062
FL
Other
Enumeration date
09/05/2006
Last updated
03/21/2024
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