FRED CARTER EWALT

JACKSONVILLE, FL
NPI1487629267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  1462446)
Enumeration Date2006-02-23
Last Update Date2009-11-10
Business Address
Mr. FRED CARTER EWALT PA
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7765
Mailing Address
Mr. FRED CARTER EWALT PA
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7765
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