Carlson, Elmer Thomas

Carlson, Elmer Thomas is an individual health care provider with primary practice located at 4880 N Highway 19A Suite 200, Mount Dora FL 32757-2018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Carlson, Elmer Thomas can be contacted via phone (352) 589-8111.

Contact Information

Primary practice address
4880 N Highway 19A Suite 200 Mount Dora FL 32757-2018
Phone: (352) 589-8111
Fax: (352) 589-8495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME 20114 Florida
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X ME 20114 Florida

Profile Details

NPI number 1598854358
LBN Legal business name Carlson, Elmer Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598854358 NPPES
Florida Other 4471200 AETNA PROVIDER #
Florida Other 203150 AETNA PROVIDER #
Florida Other 35124 AETNA PROVIDER #

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