| Carlton R. Vollberg M D P A | |
|
2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 | |
| (941) 743-4445 | |
| (941) 743-4287 |
| Full Name | Carlton R. Vollberg M D P A |
|---|---|
| Speciality | Family Medicine |
| Location | 2852 Tamiami Trl Ste 6, Port Charlotte, Florida |
| Authorized Official Name and Position | Antonia Marie Vollberg (OFFICE SUPERVISOR) |
| Authorized Official Contact | 9417434445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlton R. Vollberg M D P A 2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 Ph: (941) 743-4445 | Carlton R. Vollberg M D P A 2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 Ph: (941) 743-4445 |
| NPI Number | 1003124322 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003124322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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