Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 255914 | NY |
N | 208600000X | Surgeon | 255914 | NY |
Y | 208200000X | Surgeon | ME128369 | FL |
Y | 208600000X | Surgeon | ME128369 | FL |
N | 2086S0102X | Surgical Critical Care | ME128369 | FL |
NPI | 1326298936 |
---|---|
Provider Name | Dr. Joshua Carson |
First Address | Gainesville, FL 32610-0108 |
Second Address | Gainesville, FL 32610-0108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 11/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018203800 | (05) | FL |