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Individual

JEREMY CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-4845

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
750803
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
04/29/2021
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