Organization
DR WARREN K CARLYLE DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN K CARLYLE DC (OWNER)
(352) 338-0095
Entity
Organization
Contact information
Practice address
3181 NW 13TH ST, GAINESVILLE, FL 32609-2186
(352) 338-0095
(352) 373-2444
Mailing address
3181 NW 13TH ST, GAINESVILLE, FL 32609-2186
(352) 338-0095
(352) 373-2444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89081
BC BS FL
FL
Enumeration date
03/07/2012
Last updated
09/20/2012
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