Individual
DR. EDWARD F CARLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 BAHIA VISTA ST, STE 207, SARASOTA, FL 34239-2625
(941) 388-4408
Mailing address
2650 BAHIA VISTA ST, STE 207, SARASOTA, FL 34239-2625
(941) 388-4408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME46678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02410
BC/BS NUMBER
FL
Enumeration date
05/04/2006
Last updated
12/28/2016
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