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Dr. Jerry Scott Carroll, MD
Magnetic Resonance Imaging (MRI) Internal Medicine Physician in Leesburg, Florida
NPI 1497931406

Jerry Scott Carroll is a Magnetic Resonance Imaging (MRI) Internal Medicine Physician based in Leesburg, FL and is specialized in Magnetic Resonance Imaging (MRI). Jerry Scott Carroll practices in Leesburg, FL and has the professional credentials of MD. The NPI Number for Jerry Scott Carroll is 1497931406 and holds a License No. ME109665 (Florida).

The current practice location address for Jerry Scott Carroll is 734 N 3Rd St, Leesburg, FL and can be reached out via phone at 352-365-2583 and via fax at 352-728-6749.

Location: 734 N 3Rd St, Leesburg, FL, 34748-5285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497931406
Provider Name
Jerry Scott Carroll
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
734 N 3Rd St, Leesburg, FL, 34748-5285
Phone Number
352-365-2583
Fax Number
352-728-6749
Provider Enumeration Date
01/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00986156 01 FL RR MEDICARE RACF
P00986170 01 FL RR MEDICARE LMIV
03876000 05 FL
institution
Provider Business Practice Location Address Details
Address
734 N 3Rd St
City
Leesburg
State
Florida
Zip
34748-5285
Phone Number
352-365-2583
Fax Number
352-728-6749
person
Provider Business Mailing Address Details
Address
734 N 3Rd St
City
Leesburg
State
Florida
Zip
34748-5285
Phone Number
352-365-2583
Fax Number
352-728-6749
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
207RM1200X
License No.
ME109665 (Florida)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME109665 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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