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Individual

DR. ADAM CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1675 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2106
(772) 873-1616
Mailing address
2438 57TH CIR, VERO BEACH, FL 32966-4643
(954) 732-0240
(954) 732-0240

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56262
FL

Other

Enumeration date
06/07/2017
Last updated
06/07/2017
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