Provider Demographics
NPI:1811931025
Name:CARVEL, LYNN T (MD)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:T
Last Name:CARVEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 JOHN RINGLING PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-1107
Mailing Address - Country:US
Mailing Address - Phone:941-330-5657
Mailing Address - Fax:941-552-6786
Practice Address - Street 1:1340 JOHN RINGLING PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-1107
Practice Address - Country:US
Practice Address - Phone:941-330-5657
Practice Address - Fax:941-552-6786
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME995502085R0202X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117899Medicaid
MS00117899Medicaid
MSG59479Medicare UPIN