MEDICARE: CAROLYN L. INMAN 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
1	207Q00000X	Family Medicine Physician	22347	SC
2	207Q00000X	Family Medicine Physician	ME126749	FL

General Provider Information

NPI Number	:	1861459117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN L. INMAN MD

Provider Business Mailing Address
First Line	:	10051 5TH ST N
Second Line	:	SUITE 200
City	:	ST. PETERSBURG
State	:	FL
Zip	:	33702-2211
Country	:	US
Telephone Number	:	727-824-0780
Fax Number	:

Provider Business Practice Location Address
First Line	:	787 CORTARO DR
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33573-6812
Country	:	US
Telephone Number	:	813-634-2500
Fax Number	:	813-634-3008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	12/13/2016

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