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NPI Code Detail

MEDICARE: KARISA M CARROLL MD

MEDICARE: KARISA M CARROLL MD
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
1207V00000XObstetrics & Gynecology PhysicianME159963FL

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 : 1396207163
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARISA M CARROLL MD
Provider Business Mailing Address
First Line : 713 E MARION AVE STE 139
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-3863
Country : US
Telephone Number : 941-833-1750
Fax Number :
Provider Business Practice Location Address
First Line : 713 E MARION AVE STE 139
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-3863
Country : US
Telephone Number : 941-833-1750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2019
Last Update Date : 12/16/2025

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Directions to “ KARISA M CARROLL MD” Practice Location

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