MEDICARE: THOMAS P CARSON, MD PA

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	174400000X	Specialist

General Provider Information

NPI Number	:	1255436606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS P CARSON, MD PA

Provider Business Mailing Address
First Line	:	3813 OAKWATER CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-6264
Country	:	US
Telephone Number	:	407-902-2866
Fax Number	:	407-902-2585

Provider Business Practice Location Address
First Line	:	3813 OAKWATER CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-6264
Country	:	US
Telephone Number	:	407-902-2866
Fax Number	:	407-902-2585

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THOMAS PHILIP CARSON
Credential	:	M.D.
Telephone Number	:	407-902-2866

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	08/22/2020

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