Organization
ROBERT R CARROLL MD PA
Active
Organization
ROBERT R CARROLL MD PA
Active
Other names
ROBERT R CARROLL MD
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL MCINTOSH (ADMINISTRATOR)
(352) 248-2032
Entity
Organization
Contact information
Practice address
6400 W NEWBERRY RD, STE 206, GAINESVILLE, FL 32605-6605
(352) 331-2777
Mailing address
6400 W NEWBERRY RD, STE 206, GAINESVILLE, FL 32605-6605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME24996
FL
332900000X
Non-Pharmacy Dispensing Site
Primary
ME24996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046146600
—
GA
01
—
1020065
OTHER ID NUMBER
—
05
—
266485200
—
FL
Enumeration date
07/20/2005
Last updated
08/03/2009
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