George Carroll MD PA

NPI #1740312636 in Maitland, Florida

Provider Information

NPI Number: 1740312636
Entity Type: Organization
Organization Name: George Carroll MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 9, 2007
Last Updated: Sep 22, 2011

Practice Location

Address: 100 EAST SYBELIA AVE
Address 2: SUITE 140
City: Maitland
State: Florida
ZIP Code: 32751-4750
Phone: (407) 894-9959

Authorized Official

Name: GEORGE WILLIAM CARROLL, MD
Title: PRESIDENT
Phone: (407) 894-9959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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