MEDICARE: MR. RAMON LEONARD CARROLL JR. 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
1	208600000X	Surgery Physician	ME97506	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AG739Z	OTHER	FL	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1174524987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMON LEONARD CARROLL JR. M.D.

Provider Business Mailing Address
First Line	:	224 WEST CIRCLE DR
Second Line	:
City	:	CLEWISTON
State	:	FL
Zip	:	33440
Country	:	US
Telephone Number	:	239-565-9437
Fax Number	:	863-301-5430

Provider Business Practice Location Address
First Line	:	224 WEST CIRCLE DR
Second Line	:
City	:	CLEWISTON
State	:	FL
Zip	:	33440
Country	:	US
Telephone Number	:	863-301-5450
Fax Number	:	863-301-5430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	11/10/2025

Similar Medicare Providers

1679579965 — SA-CLEWISTON, LLC
Practice Location Address:

301 S GLORIA ST
CLEWISTON, FL
33440-3520

Practice Phone: 863-983-5123
Practice Fax: 863-983-6698

1962409896 — VALERIE JEAN CRANDALL M.D.
Practice Location Address:

820 W SUGARLAND HWY
CLEWISTON, FL
33440-2700

Practice Phone: 941-792-2020
Practice Fax:

1871593764 — CARMEN JOSEFA WILSON MD
Practice Location Address:

820 W SUGARLAND HWY
CLEWISTON, FL
33440

Practice Phone: 941-792-2020
Practice Fax:

1326048752 — DR. AAISYA NABEEHAH ANSARI MD
Practice Location Address:

524 W SAGAMORE AVE
CLEWISTON, FL
33440-3514

Practice Phone: 863-983-9121
Practice Fax:

1699776443 — MR. DARAYES S. MOBED M.D
Practice Location Address:

540 W. SAGAMORE AVENUE , BUILDING D
CLEWISTON, FL
33440-3514

Practice Phone: 863-983-5026
Practice Fax: 863-983-2793

1295729523 — UDAYASHREE NUNE MD
Practice Location Address:

500 W SAGAMORE AVE
CLEWISTON, FL
33440-3514

Practice Phone: 863-902-3032
Practice Fax: 863-983-6655

Directions to “ MR. RAMON LEONARD CARROLL JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.