Carroll, Harry W

Carroll, Harry W is an individual health care provider with primary practice located at 3040 N Wickham Rd Ste 3 , Melbourne FL 32935-2369. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Carroll, Harry W can be contacted via phone (321) 456-9653.

Contact Information

Primary practice address
3040 N Wickham Rd Ste 3 Melbourne FL 32935-2369
Phone: (321) 456-9653
Fax: (321) 204-9168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11001267 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11001267 Florida

Profile Details

NPI number 1427513746
LBN Legal business name Carroll, Harry W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2019
Last updated Apr 15th, 2024 - about 2 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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