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NPI Code Detail

MEDICARE: JOHN J. CARTHY M.D. P.A.

MEDICARE: JOHN J. CARTHY M.D. P.A.
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
1207QA0505XAdult Medicine Physician048964FL

General Provider Information

NPI Number : 1770674731
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN J. CARTHY M.D. P.A.
Provider Business Mailing Address
First Line : 2809 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-1852
Country : US
Telephone Number : 813-932-1151
Fax Number : 813-932-0351
Provider Business Practice Location Address
First Line : 2809 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-1852
Country : US
Telephone Number : 813-932-1151
Fax Number : 813-932-0351
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN J CARTHY
Credential : M.D.
Telephone Number : 813-932-1151
Provider Enumeration Date : 09/27/2006
Last Update Date : 08/22/2020

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