DR. EFREN CARBONELL M.D. NPI 1558307835

NPI Information

NPI: 1558307835
Provider Name: DR. EFREN CARBONELL, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL
ZIP 32456
Phone: (850) 229-1043

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NPI Details

DR. Efren Carbonell, M.D. is a general practice in Port St Joe, FL with 44 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Efren Carbonell, M.D. NPI is 1558307835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL
ZIP 32456-928
Phone: (850) 229-1043
Fax: (850) 229-1104

The NPI 1558307835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 6/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	12359	PUERTO RICO	No
2	208D00000X	General Practice	12359	PUERTO RICO	No
3	208D00000X	General Practice	ACN262	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1558307835	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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