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ROBERT R CARROLL MD PA NPI 1780683730


NPI Information

NPI: 1780683730
Provider Name: ROBERT R CARROLL MD PA

Doing Business As: ROBERT R CARROLL MD

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
6400 W NEWBERRY RD
STE 206
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-2777
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ROBERT R CARROLL MD PA is a non pharmacy dispensing site in Gainesville, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ROBERT R CARROLL MD PA NPI is 1780683730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Robert R Carroll Md.

The provider's business location address is:

6400 W NEWBERRY RD
STE 206
GAINESVILLE, FL
ZIP 32605-605
Phone: (352) 331-2777

The provider's authorized official is Sheryl Mcintosh .
The authorized official title is Administrator and has the following contact phone number (352) 248-2032.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 8/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME24996FLORIDANo
2332900000XNon-Pharmacy Dispensing SiteME24996FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D40512MEDICARE UPINFLORIDA
2266485200MEDICAIDFLORIDA
3046146600MEDICAIDGEORGIA
41020065OTHEROTHER ID NUMBER

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: 4/28/2024

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