Individual
JEFFREY RYAN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A. - C
Contact information
Practice address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652-4008
(727) 845-1736
(727) 849-0759
Mailing address
30923 BRIDGEGATE DR, WESLEY CHAPEL, FL 33545-8214
(614) 271-5814
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
FL
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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