Carroll, David Richard
Carroll, David Richard is an individual health care provider with primary practice located at 15704 Richboro Ct , Tampa FL 33647-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Carroll, David Richard can be contacted via phone (813) 745-7365.Contact Information
Primary practice address
15704 Richboro Ct
Tampa FL 33647-1121
Phone: (813) 745-7365
Fax: (813) 449-8618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME59882 | Florida |
Profile Details
| NPI number | 1447256771 |
|---|---|
| LBN Legal business name | Carroll, David Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jan 16th, 2024 - about 11 months 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 | 1447256771 | NPPES |
| Florida | MEDICAID | 055802800 |
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