CHARLES L CARR JR DO PA (NPI# 1649810540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649810540 |
| Entity Type | Organization |
| Organization Name | CHARLES L CARR JR DO PA |
| Practice Address |
4335 Cheval Blvd Lutz FL 33558-5328 |
| Mailing Address |
3959 Van Dyke Rd # 259 Lutz FL 33558-8025 |
| Practice Telephone | 2073320774 |
| Mailing Telephone | 2073320774 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | CHARLES L CARR JR. (PRESIDENT) |
| Authorized Official Telephone | 2073320774 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4335 CHEVAL BLVD |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871057836 | Nextstep Orlando | Neuromusculoskeletal Medicine, Sports Medicine | 330 Harbour Isle Way Unit 1090, Longwood, FL 32750-3979 | 2019-01-24 |
| 1124512371 | Jennifer Lynn Wiersma | Neuromusculoskeletal Medicine, Sports Medicine | 346 Se 5th Ave, Delray Beach, FL 33483-5209 | 2018-06-20 |
| 1548602840 | Shaun Notman | Neuromusculoskeletal Medicine, Sports Medicine | 1700 South Tamiami Trl, Sarasota, FL 34277 | 2013-07-27 |
| 1487920237 | North Florida Treatment Centers, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 601 N Bumby Ave Ste C, Orlando, FL 32803-4904 | 2012-03-27 |
| 1093049579 | Hem M Bhatt | Neuromusculoskeletal Medicine, Sports Medicine | 2298 Sw Golden Bear Way, Palm City, FL 34990-8803 | 2009-09-30 |
| 1750555777 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 460 Osceola Ave, Jacksonville, FL 32250-4078 | 2008-04-22 |
| 1730383993 | Alfred B Chapman | Neuromusculoskeletal Medicine, Sports Medicine | 1221 Rogers St, Suite B, Clearwater, FL 33756-5900 | 2007-06-12 |
| 1780887760 | Tamarac Physicians Group Inc | Neuromusculoskeletal Medicine, Sports Medicine | 8287 Nw 88th Ave, Tamarac, FL 33321-1541 | 2007-06-07 |
| 1366563066 | Stephen R Wood Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 13211 Walsingham Rd, Largo, FL 33774-3518 | 2007-04-02 |
| 1376673178 | Luis E Crespo | Neuromusculoskeletal Medicine, Sports Medicine | 5041 W Cypress St, Tampa, FL 33607-3851 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.