Carlson, Joanne L

Carlson, Joanne L is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Pediatric Dept., Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Carlson, Joanne L can be contacted via phone (904) 244-3050.

Contact Information

Primary practice address
655 W 8Th St Ufjp Pediatric Dept. Jacksonville FL 32209-6511
Phone: (904) 244-3050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224192 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME97112 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME97112 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME98112 Florida

Profile Details

NPI number 1073577938
LBN Legal business name Carlson, Joanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 10th, 2017 - about 7 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 1073577938 NPPES
Florida MEDICAID 2778378-00
Florida MEDICAID 277837800
Florida MEDICAID 679675487B
Florida MEDICAID 679675487C
Florida Other 93557

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