Individual
GERALD CARRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 SCENIC DR, VENICE, FL 34293-1510
(941) 584-0041
Mailing address
11000 PLACIDA RD, PLACIDA, FL 33946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN18212
DENTIST LICENSE
FL
Enumeration date
05/13/2016
Last updated
05/13/2016
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