Provider Demographics
NPI:1063703825
Name:ORLON V CARR III MD PA
Entity type:Organization
Organization Name:ORLON V CARR III MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ORLON
Authorized Official - Middle Name:VERE
Authorized Official - Last Name:CARR
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:561-747-7377
Mailing Address - Street 1:210 JUPITER LAKES BLVD STE 5103
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7192
Mailing Address - Country:US
Mailing Address - Phone:561-747-7377
Mailing Address - Fax:561-743-7616
Practice Address - Street 1:210 JUPITER LAKES BLVD STE 5103
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7192
Practice Address - Country:US
Practice Address - Phone:561-747-7377
Practice Address - Fax:561-743-7616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0037479261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center