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Mr. Ramon Leonard Carroll JR., MD
Specialist in Clewiston, Florida
NPI 1174524987

Ramon Leonard Carroll JR. is a Specialist based in Clewiston, FL. Ramon Leonard Carroll JR. practices in Clewiston, FL and has the professional credentials of MD. The NPI Number for Ramon Leonard Carroll JR. is 1174524987 and holds a License No. MD5883 (Florida).

The current practice location address for Ramon Leonard Carroll JR. is 540 W Sagamore Ave Bldg D, Clewiston, FL and can be reached out via phone at 863-983-5026 and via fax at 863-983-2793.

Location: 540 W Sagamore Ave Bldg D, Clewiston, FL, 33440-3514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174524987
Provider Name
Ramon Leonard Carroll JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
540 W Sagamore Ave Bldg D, Clewiston, FL, 33440-3514
Phone Number
863-983-5026
Fax Number
863-983-2793
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277596400 05 FL
AG739Z 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
540 W Sagamore Ave Bldg D
City
Clewiston
State
Florida
Zip
33440-3514
Phone Number
863-983-5026
Fax Number
863-983-2793
person
Provider Business Mailing Address Details
Address
540 W Sagamore Ave Bldg D
City
Clewiston
State
Florida
Zip
33440-3514
Phone Number
863-983-5026
Fax Number
863-983-2793
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD5883 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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