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ANDREW DAVID CARSON P.A.
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1962733261
Individual Registrant: ANDREW DAVID CARSON P.A.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1259 S PINELLAS AVE TARPON SPRINGS, FL 34689-3719 US
Tel: 727-938-1908 Fax: 727-938-8693
Tel: 727-938-1908 Fax: 727-938-8693
Contact information for business:
1259 S PINELLAS AVE TARPON SPRINGS, FL 34689-3719 US
Tel: 727-938-1908 Fax: 727-938-8693
Tel: 727-938-1908 Fax: 727-938-8693
Registration Information:
NPI: 1962733261
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9105368 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NPI GROUP NUMBER | 1043236565 | FL | 01 |
| FLORIDA LICENSE | PA9105368 | FL | 01 |
| NPI NUMBER | 1962733261 | FL | 01 |
