Individual
CAROL GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7050 SEMINOLE BLVD, SEMINOLE, FL 33772-5931
(727) 392-8033
(727) 392-9578
Mailing address
4278 28TH ST N, ST PETERSBURG, FL 33714-3922
(727) 526-9135
(727) 526-4346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME114069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006744500
—
FL
Enumeration date
06/18/2009
Last updated
06/20/2014
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