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NPI Code Detail

MEDICARE: CARBON HEALTH PRIMARY CARE OF FLORIDA PA

MEDICARE: CARBON HEALTH PRIMARY CARE OF FLORIDA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1003535857
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARBON HEALTH PRIMARY CARE OF FLORIDA PA
Provider Business Mailing Address
First Line : 2100 FRANKLIN ST STE 355
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 90 W RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5130
Country : US
Telephone Number : 520-912-4200
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MARLEY PAGE
Credential :
Telephone Number : 417-861-9739
Provider Enumeration Date : 08/24/2022
Last Update Date : 06/25/2025

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Directions to “CARBON HEALTH PRIMARY CARE OF FLORIDA PA ” Practice Location

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