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Contact Information

JOHN D. CARLSON MD
492 NORTH WILSON STREET
CRESTVIEW, FL32536
 Phone: 850-682-5332
 Fax: 850-683-5333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHN D. CARLSON MD

NPI Number 1679846166
LBN Legal business name JOHN D. CARLSON MD
Authorized official JOHN CARLSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2012
Last updated 02/15/2012 - About 14 years ago
Identifiers
FL License # ME0051484
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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