Dr. Elmer Thomas Carlson
M.D. | Pediatric Adolescent Medicine | Male
Dr. Elmer Thomas Carlson, M.D. is a Mount Dora, Florida based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Elmer Thomas Carlson is
4880 N Highway 19a, Suite 200, Mount Dora, Florida - 32757-2018. He can be contacted on phone at
352-589-8111 and fax number 352-589-8495.
Dr. Elmer Thomas Carlson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Elmer Thomas Carlson is
1598854358 which was assigned by NPPES on 12 Oct, 2006 and it was last updated on 08 Jul, 2007.
Dr. Elmer Thomas Carlson specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Elmer Thomas Carlson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Elmer Thomas Carlson |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Elmer Thomas Carlson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4880 N Highway 19a, Suite 200
Mount Dora, FL, 32757-2018
United States |
|---|
| Phone Number : | 352-589-8111 |
|---|
| Fax Number : | 352-589-8495 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598854358 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 12 Oct, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elmer Thomas Carlson are as mentioned. Primary taxonomy code for Dr. Elmer Thomas Carlson, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | ME 20114 | FL |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | ME 20114 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Elmer Thomas Carlson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 35124 | Other | FL | BLUECROSS/BLUESHIELD |
| 4471200 | Other | FL | AETNA PROVIDER # |
| 203150 | Other | FL | HEALTHEASE PROVIDER # |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4880 N Highway 19a, Suite 200
Mount Dora, FL, 32757-2018
United States |
|---|
| Phone Number : | 352-589-8111 |
|---|
| Fax Number : | 352-589-8495 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Elmer Thomas Carlson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.