Carlson Medical, Pllc
NPI #1518412238 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1518412238
- Entity Type
- Organization
- Organization Name
- Carlson Medical, Pllc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 23, 2016
- Last Updated
- Aug 23, 2016
Practice Location
- Address
- 486 TOWN PLAZA AVE
- Address 2
- SUITE 440
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-5141
- Phone
- (904) 395-3577
Authorized Official
- Name
- DR. INGRID A CARLSON, MD
- Title
- PRESIDENT
- Phone
- (904) 395-3577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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