Doctor Name: | MR. RAMON LEONARD CARROLL |
NPI Number: | 1174524987 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD5883 |
Business Practice Address: | 540 W Sagamore Ave Bldg D Clewiston, FL - 334403514 |
Business Phone Number: | 8639835026 |
Business Fax Number: | 8639832793 |
Mailing Address: | 540 W Sagamore Ave Bldg D, CLEWISTON |
State: | FL |
Postal Code: | 334403514 |
Phone Number: | 8639835026 |
Fax Number: | 8639832793 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 04/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD5883 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |