Carr, Gina

Carr, Gina is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 350, Daytona Beach FL 32114-2781. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Carr, Gina can be contacted via phone (386) 255-1266.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 350 Daytona Beach FL 32114-2781
Fax: (386) 255-8520
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0066468 Florida

Profile Details

NPI number 1811901440
LBN Legal business name Carr, Gina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Sep 3rd, 2009 - about 15 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 1811901440 NPPES
Florida MEDICAID 375860500

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