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Organization

TED J. CARSON MD, PA.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TED J CARSON MD (CARDIOVASCULAR AND THORACIC SURGEON)
(954) 776-0191
Entity
Organization

Contact information

Practice address
1820 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-3725
(954) 776-0191
(954) 776-0430
Mailing address
1820 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-3725
(954) 776-0191
(954) 776-0430

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037429600
FL
Enumeration date
01/11/2011
Last updated
01/11/2011
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