| George Carroll Md Pa | |
|
100 East Sybelia Ave Suite 140 Maitland FL 32751-4750 | |
| (407) 894-9959 | |
| Not Available |
| Full Name | George Carroll Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 East Sybelia Ave, Maitland, Florida |
| Authorized Official Name and Position | George William Carroll (PRESIDENT) |
| Authorized Official Contact | 4078949959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Carroll Md Pa 100 East Sybelia Avenue Suite 140 Maitland FL 32751-4750 Ph: (407) 894-9959 | George Carroll Md Pa 100 East Sybelia Ave Suite 140 Maitland FL 32751-4750 Ph: (407) 894-9959 |
| NPI Number | 1740312636 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 2062595481 |
|---|---|
| Medicare Enrollment ID | O20080208000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740312636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME48111 (Florida) | Primary |
| Provider Name | George W Carroll |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073644985 PECOS PAC ID: 6507965183 Enrollment ID: I20070622000010 |
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