Individual
JON CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 SW 3RD AVE, OCALA, FL 34474-4126
(352) 620-8414
(352) 401-9366
Mailing address
230 SW 3RD AVE, OCALA, FL 34474-4126
(352) 620-8414
(352) 401-9366
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0069491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27959
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/09/2006
Last updated
07/08/2007
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