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Individual

MR. CARL THOMAS ROUNTREE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-BC

Contact information

Practice address
18550 US HIGHWAY 441 STE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Mailing address
8 TRUMAN BLVD, BEVERLY HILLS, FL 34465-4033
(352) 601-2019

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9384996
FL
163WM0705X
Medical-Surgical Registered Nurse
RN9384996
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11005182
FL

Other

Enumeration date
10/21/2019
Last updated
12/06/2019
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