Robert R Carroll Md
LBN: Robert R Carroll Md Pa
Robert R Carroll Md is an health care organization with primary practice located at 6400 W Newberry Rd Ste 206, Gainesville FL 32605-6605. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty.
Robert R Carroll Md Pa can be contacted via phone (352) 331-2777, or through Mcintosh, Sheryl via phone (352) 248-2032.
Contact Information
Primary practice address
6400 W Newberry Rd Ste 206
Gainesville FL 32605-6605
Phone: (352) 331-2777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME24996 | Florida |
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | ME24996 | Florida |
Profile Details
| NPI number | 1780683730 |
|---|---|
| LBN Legal business name | Robert R Carroll Md Pa |
| DBA Doing business as | Robert R Carroll Md |
| Authorized official | Mcintosh, Sheryl |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Aug 3rd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780683730 | NPPES |
| Florida | MEDICAID | 266485200 | |
| Florida | MEDICAID | 046146600 | |
| Florida | Other | 1020065 |
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