Individual
ANDREW DAVID CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1259 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3719
(727) 938-1908
(727) 938-8693
Mailing address
1259 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3719
(727) 938-1908
(727) 938-8693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043236565
NPI GROUP NUMBER
FL
01
—
1962733261
NPI NUMBER
FL
01
—
PA9105368
FLORIDA LICENSE
FL
Enumeration date
01/26/2010
Last updated
03/25/2010
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