Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY SCOTT CARROLL, M.D.
ActiveDR. JERRY SCOTT CARROLL, M.D. is a 207RM1200X healthcare provider located in LEESBURG, Florida. NPI 1497931406 is currently active in the NPPES registry. Verify at CMS.
207RM1200X · LEESBURG, FL
Registration Details
- NPI Number
- 1497931406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2008 (18.557519879921 yrs)
- Last Updated
- Aug 26, 2020
- Licenses
-
ME109665 (FL)ME109665 (FL)
Practice Information
- Address
-
734 N 3RD STSUITE 115LEESBURG, FL, 347485285Browse FL providers · Browse ZIP 34748
- Phone
- 3523652583
- Fax
- 3527286749
- Primary Specialty
-
207RM1200X
207RM1200X
- Additional Specialty
- 207RM1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.