Individual
BONNIE NEAL CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4322 TIDEWATER DR, ORLANDO, FL 32812
(407) 851-6157
(407) 851-6157
Mailing address
4322 TIDEWATER DR, ORLANDO, FL 32812
(407) 851-6157
(407) 851-6157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032908
FL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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