Individual provider · Type 1 NPI

Jeff O. Carlos

Student in an Organized Health Care Education/Training Program · Maitland, FL

NPI number 1013404979 Active

Practice location

2700 Westhall Ln Ste 207
Maitland, FL 32751-7478

Call (407) 636-3532 Map

Mailing address

140 Pine Isle Dr
Sanford, FL 32773-7434

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013404979

Jeff O. Carlos's National Provider Identifier is 1013404979, issued on Apr 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maitland, FL. The record was last updated on Apr 17, 2018.