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Organization

CARMONA MEDICAL CARE INC

Active
Other names
Carmona Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN A CARMONA M.D. (PRESIDENT)
(786) 768-3315
Entity
Organization

Contact information

Practice address
2307 BOLADO PKWY, CAPE CORAL, FL 33990-2712
(786) 768-3315
(239) 443-4516
Mailing address
2307 BOLADO PKWY, CAPE CORAL, FL 33990-2712
(786) 768-3315
(239) 443-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022660000
FL
01
2DYCQ
BCBS
FL
Enumeration date
05/14/2020
Last updated
09/08/2025
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