Carmack, Brent William
Carmack, Brent William is an sole proprietor health care provider with primary practice located at 900 Carillon Pkwy Ste 111 , St Petersburg FL 33716-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carmack, Brent William can be contacted via phone (727) 573-3937.Contact Information
Primary practice address
900 Carillon Pkwy Ste 111
St Petersburg FL 33716-1121
Phone: (727) 573-3937
Fax: (727) 573-4344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME89731 | Florida |
Profile Details
| NPI number | 1841391661 |
|---|---|
| LBN Legal business name | Carmack, Brent William |
| Credentials | M.D P.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 25th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841391661 | NPPES |
| Florida | MEDICAID | 270052200 |
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