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NPI Code Detail

MEDICARE: DR. THOMAS E. CARSON M.D.

MEDICARE: DR. THOMAS E. CARSON 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
1207Q00000XFamily Medicine PhysicianME36578FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21427058791OTHERFLNPI
31043236565OTHERFLGROUP NPI

General Provider Information

NPI Number : 1427058791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS E. CARSON M.D.
Provider Business Mailing Address
First Line : 1259 S PINELLAS AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-3719
Country : US
Telephone Number : 727-938-1908
Fax Number : 727-938-8693
Provider Business Practice Location Address
First Line : 1259 S PINELLAS AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-3719
Country : US
Telephone Number : 727-938-1908
Fax Number : 727-938-8693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 04/02/2010

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