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NPI Code Detail

MEDICARE: DR. PATRICIA CARLIN M D

MEDICARE: DR. PATRICIA CARLIN M D
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
1207ZP0101XAnatomic Pathology Physician23037LA
2208D00000XGeneral Practice PhysicianME148185FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033165600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA CARLIN M D
Provider Business Mailing Address
First Line : 3564 AVALON PARK BLVD E
Second Line : STE 241
City : ORLANDO
State : FL
Zip : 32828-7365
Country : US
Telephone Number : 321-235-0692
Fax Number : 321-235-0694
Provider Business Practice Location Address
First Line : 12301 LAKE UNDERHILL RD
Second Line : STE 215
City : ORLANDO
State : FL
Zip : 32828-4511
Country : US
Telephone Number : 321-235-0692
Fax Number : 321-235-0694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 01/17/2022

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Directions to “ DR. PATRICIA CARLIN M D” Practice Location

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