Individual
MR. CARL EUGENE BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 W WINDY WILLOW DR, ST AUGUSTINE, FL 32092-5094
(904) 230-5400
Mailing address
1509 W WINDY WILLOW DR, ST AUGUSTINE, FL 32092-5094
(904) 230-5400
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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