Carlton R. Vollberg M D P A | |
2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 | |
(941) 743-4445 | |
(941) 743-4287 |
Full Name | Carlton R. Vollberg M D P A |
---|---|
Speciality | Family Medicine |
Location | 2852 Tamiami Trl Ste 6, Port Charlotte, Florida |
Authorized Official Name and Position | Antonia Marie Vollberg (OFFICE SUPERVISOR) |
Authorized Official Contact | 9417434445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carlton R. Vollberg M D P A 2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 Ph: (941) 743-4445 | Carlton R. Vollberg M D P A 2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 Ph: (941) 743-4445 |
NPI Number | 1003124322 |
---|---|
Provider Enumeration Date | 09/21/2010 |
Last Update Date | 09/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003124322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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