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Organization

CAROLYN M. CAREY, MD, PA

Active
Other names
Center for Pediatric Neurosurgery & Neuroscience
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE HANCOCK (ADMINISTRATOR)
(727) 767-3808
Entity
Organization

Contact information

Practice address
3310 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1974
(727) 767-8181
(727) 767-8030
Mailing address
601 5TH ST S, SUITE 511, ST PETERSBURG, FL 33701-4804
(727) 767-8181
(727) 767-8030

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273786801
FL
Enumeration date
05/30/2007
Last updated
04/12/2011
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