Harry W Carroll (NPI# 1427513746, PAC ID# 5890022420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427513746 |
| PAC ID by PECOS | 5890022420 |
| Professional Enrollment ID | I20190806000522 |
| Full Name | Harry W Carroll |
| Organization Legal Name | MEDFAST URGENT CARE CENTERS LLC |
| Address |
490 Ctr Lake Dr Ne Suite 200 Palm Bay FL 32907-1113 |
| Phone Number | 3217517222 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052418837 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7925 N Wickham Rd, Suite A, Melbourne, FL 32940-8299 | 3217517222 | MEDFAST URGENT CARE CENTERS LLC |
| 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 | 3217517222 | MEDFAST URGENT CARE CENTERS LLC |
| Organization Legal Name | MEDFAST URGENT CARE CENTERS LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholle C Rothengass | Physician Assistant | Medfast Urgent Care Centers LLC | 3045 Columbia Blvd, Suite A108, Titusville, FL 32780-7864 |
| Mary Ann Davidson | Nurse Practitioner | Medfast Urgent Care Centers LLC | 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 |
| Wayne E Hall | Physician Assistant | Medfast Urgent Care Centers LLC | 1000 S Ridgewood Ave, Edgewater, FL 32132-2333 |
| Sherri Enders | Nurse Practitioner | Medfast Urgent Care Centers LLC | 206 E New Haven Ave, Melbourne, FL 32901-4504 |
| Darren M Mayer | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Currin Nichol | Family Medicine | Medfast Urgent Care Centers LLC | 7925 N Wickham Rd, Suite A, Melbourne, FL 32940-8299 |
| Melinda A Cobb | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Richard M Bost | Emergency Medicine | Medfast Urgent Care Centers LLC | 5005 Port St John Pkwy, Port St John, FL 32927-4305 |
| Manuel D Gonzalez | Nurse Practitioner | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Street Address |
490 CTR LAKE DR NE SUITE 200 |
| City | PALM BAY |
| State | FL |
| Zip | 32907-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Eric Vaughn Palmer | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Jennifer Dawn Logan | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| John W Rothwell Iii | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Victor Cisneros | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Howard Gershman | General Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Radoslaw J Czajkowski | Family Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Kerri L Connell | Physician Assistant | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish R Udeshi | Anesthesiology | Tampa Pain Relief Center Inc | 490 Centre Lake Nedr, 200b, Palm Bay, FL 32907-1113 |
| John P Welch | Nurse Practitioner | Tampa Pain Relief Center Inc | 490 Centre Lake Nedr, Palm Bay, FL 32907-1113 |
| James M Magill | Pathology | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Ruben Antenor Moreno | Dermatology | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Marina Omarov | Physician Assistant | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Anthony A Moreno | Physician Assistant | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Helen G Turk | Physician Assistant | Florida Dermatology Associates Inc | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 |
| Ronald V Trout | Family Medicine | Omni Healthcare Pa | 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 |
| Richard Hernandez | Internal Medicine | Omni Healthcare Pa | 6100 Minton Rd Nw, Suite 103, Palm Bay, FL 32907-1975 |
| Martiza Dotres-martinez | Internal Medicine | Omni Healthcare Pa | 6100 Minton Road Nw, Suite 102 and 104, Palm Bay, FL 32907-1975 |
| Find all physicians in zip 32907 | |||
| City | PALM BAY |
| Zip Code | 32907 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PALM BAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Harry W Carroll.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.