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Individual

CARLTON DICARLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(386) 325-1086
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(386) 325-1086

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290235400
FL
Enumeration date
02/01/2006
Last updated
02/18/2025
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