Individual
CARL E HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 GOLDEN GATE PT, 702, SARASOTA, FL 34236-6627
(941) 228-3328
Mailing address
128 GOLDEN GATE PT, 702, SARASOTA, FL 34236-6627
(941) 228-3328
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME51219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05998
BLUE CROSS BLUE SHIELD
FL
05
—
061151400
—
FL
01
—
P00179417
RAILROAD MEDICARE
FL
Enumeration date
06/07/2006
Last updated
10/24/2011
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