MR. Kevin K Carlisle, P.A.

NPI #1669467833 in Tampa, Florida

Provider Information

NPI Number
1669467833
Entity Type
Individual
Name
MR. Kevin K Carlisle, P.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
P.A.
Enumeration Date
Sep 14, 2005
Last Updated
Oct 29, 2013

Practice Location

Address
12880 COMMODITY PL
City
Tampa
State
Florida
ZIP Code
33626-3101
Phone
(813) 343-5500

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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