Individual
ROBERT CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1139 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 879-8045
(813) 685-2477
Mailing address
6421 CONGRESS AVE STE 113, BOCA RATON, FL 33487-2858
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110966
FL
363AM0700X
Medical Physician Assistant
Primary
PA9110966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023768600
—
FL
Enumeration date
01/15/2018
Last updated
12/29/2022
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