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NPI Code Detail

MEDICARE: CARMONA MEDICAL CARE INC

MEDICARE: CARMONA MEDICAL CARE INC
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
1207RC0000XCardiovascular Disease Physician
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22DYCQOTHERFLBCBS

General Provider Information

NPI Number : 1922620749
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARMONA MEDICAL CARE INC
Provider Business Mailing Address
First Line : 2307 BOLADO PKWY
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2712
Country : US
Telephone Number : 786-768-3315
Fax Number : 239-443-4516
Provider Business Practice Location Address
First Line : 2307 BOLADO PKWY
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2712
Country : US
Telephone Number : 786-768-3315
Fax Number : 239-443-4516
Authorized Official
Title or Position : PRESIDENT
Name : JUAN A CARMONA
Credential : M.D.
Telephone Number : 786-768-3315
Provider Enumeration Date : 05/14/2020
Last Update Date : 09/08/2025

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Directions to “CARMONA MEDICAL CARE INC ” Practice Location

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