Carroll, Edward James

Carroll, Edward James is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. 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 / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Carroll, Edward James can be contacted via phone (863) 687-1321.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Lakeland FL 33805-4543
Phone: (863) 687-1321
Fax: (863) 284-1730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101893 Florida

Profile Details

NPI number 1083676779
LBN Legal business name Carroll, Edward James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated May 1st, 2023 - about 3 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 1083676779 NPPES
Florida MEDICAID 291529400

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