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Individual

ANDREW CLIFFORD CARLSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.N.M.T.

Contact information

Practice address
2000 VIA ROYALE APT 2004, JUPITER, FL 33458-7084
(561) 401-9884
Mailing address
2000 VIA ROYALE APT 2004, JUPITER, FL 33458-7084
(561) 401-9884

Taxonomy

Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
CRT32194
FL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
CRT32194
FL

Other

Enumeration date
04/26/2012
Last updated
04/26/2012
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