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NPI Code Detail

MEDICARE: DR. BRIGGS GREENE CARROLL M.D.

MEDICARE: DR. BRIGGS GREENE CARROLL 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
1208000000XPediatrics PhysicianME 80716FL

Other Identifiers

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

General Provider Information

NPI Number : 1316051162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIGGS GREENE CARROLL M.D.
Provider Business Mailing Address
First Line : 2020 CATTLEMEN RD
Second Line : SUITE 600
City : SARASOTA
State : FL
Zip : 34232-6283
Country : US
Telephone Number : 941-955-8319
Fax Number : 941-366-7582
Provider Business Practice Location Address
First Line : 2020 CATTLEMEN RD
Second Line : SUITE 600
City : SARASOTA
State : FL
Zip : 34232-6283
Country : US
Telephone Number : 941-955-8319
Fax Number : 941-366-7582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 07/08/2007

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