MEDICARE: LEAH CARROLL RDMS

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	2471S1302X	Sonography Radiologic Technologist	134780	FL

General Provider Information

NPI Number	:	1871951244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH CARROLL RDMS

Provider Business Mailing Address
First Line	:	145 HILDEN RD STE 113
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-8401
Country	:	US
Telephone Number	:	904-465-9062
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 HILDEN RD STE 113
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-8401
Country	:	US
Telephone Number	:	904-465-9062
Fax Number	:

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

Provider Enumeration Date	:	02/01/2016
Last Update Date	:	08/12/2016

Similar Medicare Providers

1629216528 — DR. JEFFERSON PEARCE FUTCH DPM
Practice Location Address:

145 HILDEN RD , SUITE 103
PONTE VEDRA, FL
32081-8401

Practice Phone: 904-615-1853
Practice Fax: 904-615-1873

1083936462 — ANNA NGUYEN MOYER PHARM.D.
Practice Location Address:

145 HILDEN RD STE 102
PONTE VEDRA, FL
32081-8401

Practice Phone: 904-600-4099
Practice Fax:

1922327899 — DR. SHANE FRANCIS MCCANN D.C.
Practice Location Address:

145 HILDEN RD STE 109
PONTE VEDRA BEACH, FL
32081-8401

Practice Phone: 904-800-4717
Practice Fax:

1407234719 — JPFO LLC
Practice Location Address:

145 HILDEN RD STE 103
PONTE VEDRA, FL
32081-8401

Practice Phone: 904-615-1853
Practice Fax: 904-615-1873

1740648385 — ADAM PODRAZA
Practice Location Address:

145 HILDEN RD , SUITE 123
PONTE VEDRA, FL
32081-8401

Practice Phone: 904-395-5371
Practice Fax:

1942751110 — UPSCALE ULTRASOUND & MOBILE 3D 4D, LLC
Practice Location Address:

145 HILDEN RD , STE 113
PONTE VEDRA, FL
32081-8401

Practice Phone: 904-465-9062
Practice Fax:

Directions to “ LEAH CARROLL RDMS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.