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1669467833
KEVIN K CARLISLE
TAMPA, FL
NPI
1669467833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA1682)
Enumeration Date
2005-09-14
Last Update Date
2013-10-29
Business Address
Mr. KEVIN K CARLISLE P.A.
12880 COMMODITY PL
TAMPA, FL 33626-3101
Phone number: 813-343-5500
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Mailing Address
Mr. KEVIN K CARLISLE P.A.
PO BOX 21686
TAMPA, FL 33622-1686
Phone number: 813-343-5500
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