JERRY S CARROLL, MD LEESBURG, FL

Contact Information

JERRY S CARROLL, MD

734 N 3RD ST
SUITE 115
LEESBURG, FL 34748-5285

Phone: 352-365-2583
Fax: 352-728-6749
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Magnetic Resonance Imaging (MRI)	207RM1200X	11	Physician/Internal Medicine
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for JERRY S CARROLL · (Male)

NPI #	`1497931406`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	01/21/2008
Last updated	08/26/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	FL License # ME109665 FL Medicaid 03876000 FL Other P00986170 RR MEDICARE LMIV FL Other P00986156 RR MEDICARE RACF
Hospital affiliation(s)	LEESBURG REGIONAL MEDICAL CENTER - (Acute Care) 600 E DIXIE AVE LEESBURG, FL 34748 VILLAGES REGIONAL HOSPITAL THE - (Acute Care) 1451 EL CAMINO REAL THE VILLAGES, FL 32159

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

Contact Information

Specialty

Magnetic Resonance Imaging (MRI)

Diagnostic Radiology

NPI Profile & details for JERRY S CARROLL · (Male)

Reviews for JERRY S CARROLL

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