Carr, Robert

Carr, Robert is an sole proprietor health care provider with primary practice located at 1139 Nikki View Dr , Brandon FL 33511-4879. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Carr, Robert can be contacted via phone (813) 879-8045.

Contact Information

Primary practice address
1139 Nikki View Dr Brandon FL 33511-4879
Phone: (813) 879-8045
Fax: (813) 685-2477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110966 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110966 Florida

Profile Details

NPI number 1720596521
LBN Legal business name Carr, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2018
Last updated Dec 29th, 2022 - about 4 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 1720596521 NPPES
Florida MEDICAID 023768600

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