Individual provider · Type 1 NPI

Edward James Carroll, PA-C

Surgical Physician Assistant · Lakeland, FL

NPI number 1083676779 Active

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Call (863) 687-1321 Map

Fax (863) 284-1730

Mailing address

1324 Lakeland Hills Blvd., Attn: Managed Care Dept.
Lakeland, FL 33805

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA9101893 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1083676779

Edward James Carroll, PA-C's National Provider Identifier is 1083676779, issued on Apr 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lakeland, FL. The record was last updated on May 1, 2023.