Carroll, Timothy Martin

Carroll, Timothy Martin is an sole proprietor health care provider with primary practice located at 1127 S Patrick Dr Suite 24, Satellite Beach FL 32937-3939. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carroll, Timothy Martin can be contacted via phone (321) 773-1111.

Contact Information

Primary practice address
1127 S Patrick Dr Suite 24 Satellite Beach FL 32937-3939
Phone: (321) 773-1111
Fax: (321) 773-1692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1205A Florida

Profile Details

NPI number 1285965616
LBN Legal business name Carroll, Timothy Martin
Credentials CAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2010
Last updated Jan 25th, 2010 - about 15 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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