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1801873443
PERRY G CARLOS
JACKSONVILLE, FL
NPI
1801873443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS3973)
Enumeration Date
2005-12-26
Last Update Date
2019-07-30
Business Address
PERRY G CARLOS DO
10337 SAN JOSE BLVD STE 200
JACKSONVILLE, FL 32257-8223
Phone number: 904-260-3200
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Mailing Address
PERRY G CARLOS DO
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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