NPI 1003180688

Douglas Carl

Practitioner Nurse's Aide Gainesville, FL

Practice location

Address: 4300 SW 13th St, Gainesville, FL 32608-4006
Phone: (352) 374-5600
Fax: (352) 374-5608

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CNA241072 (FL)

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Registry record

NPI: 1003180688
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Feb 2012
Record last updated: 29 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.