Carlson, Jeffrey Kay

Carlson, Jeffrey Kay is an sole proprietor health care provider with primary practice located at 156 Ramon Way Ne , St Petersburg FL 33704-3852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Carlson, Jeffrey Kay can be contacted via phone (727) 424-7081.

Contact Information

Primary practice address
156 Ramon Way Ne St Petersburg FL 33704-3852
Fax: (727) 347-5586
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0042583 Florida

Profile Details

NPI number 1205831880
LBN Legal business name Carlson, Jeffrey Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jun 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205831880 NPPES
Florida MEDICAID 040532900

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