National Provider Identifier Database

JERRY S CARROLL, MD – NPI #1497931406
Magnetic Resonance Imaging (MRI)

The NUCC recommends this code not be used. Choose a more appropriate code.


Contact Information

JERRY S CARROLL, MD
734 N 3RD ST
SUITE 115
LEESBURG, FL34748-5285
Phone: 352-365-2583
Fax: 352-728-6749
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 207RM1200X
Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JERRY S CARROLL

NPI Number 1497931406
Credentials MD
Entity Individual
Enumeration date 01/21/2008
Last updated 08/26/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME109665
  • FL Medicaid: 03876000
  • FL Other: P00986170 RR MEDICARE LMIV
  • FL Other: P00986156 RR MEDICARE RACF
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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