Carroll, Kevin William

Carroll, Kevin William is an individual health care provider with primary practice located at 10000 Sw Innovation Way , Port Saint Lucie FL 34987-2111. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carroll, Kevin William can be contacted via phone (772) 345-8100.

Contact Information

Primary practice address
10000 Sw Innovation Way Port Saint Lucie FL 34987-2111
Phone: (772) 345-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS18952 Florida

Profile Details

NPI number 1861950255
LBN Legal business name Carroll, Kevin William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Jul 8th, 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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