Ramon Leonard Carroll in Clewiston - Specialist

Ramon Leonard Carroll - NPI 1174524987

Ramon Leonard Carroll is a Specialist in Clewiston, Florida. Ramon Leonard Carroll practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ramon Leonard Carroll is 1174524987. The last update date is 2012-04-13.

Ramon Leonard Carroll's current location address is 540 W Sagamore Ave Bldg D, Clewiston, Florida. You can contact this provider via phone number 8639835026 and fax number 8639832793. The mailing address for Ramon Leonard Carroll is 540 W Sagamore Ave Bldg D, Clewiston, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Ramon Leonard Carroll
Address 540 W Sagamore Ave Bldg D, Clewiston, Florida
Phone Number 8639835026
Fax Number 8639832793
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174524987
Provider Enumeration Date 2005-08-02
Last Updated Date 2012-04-13

Provider Mailing Address Detail

Address 540 W Sagamore Ave Bldg D
City Clewiston
State Florida (FL)
Post Code 334403514
Phone Number 8639835026
Fax Number 8639832793

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD5883
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
277596400 FL --
AG739Z FL MEDICARE PTAN

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FAQs about Ramon Leonard Carroll

What is the unique identifier code issued to Ramon Leonard Carroll by the Centers for Medicare & Medicaid Services (CMS)?

The Ramon Leonard Carroll has been assigned the NPI (National Provider Identifier) 1174524987. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Ramon Leonard Carroll?

The Ramon Leonard Carroll is situated at 540 W Sagamore Ave Bldg D, in the city of Clewiston, state of FL, with the zip code 334403514.

What is the Ramon Leonard Carroll's specialty and taxonomy code?

The Ramon Leonard Carroll's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Ramon Leonard Carroll receive the assignment of its 1174524987 from the Centers for Medicare & Medicaid Services?

The Ramon Leonard Carroll was issued its 1174524987 by the Centers for Medicare & Medicaid Services on 2005-08-02.

When was the information related to Ramon Leonard Carroll most recently updated or refreshed?

The details pertaining to the Ramon Leonard Carroll, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-13.

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