Provider Demographics
NPI:1770674731
Name:JOHN J. CARTHY M.D. P.A.
Entity Type:Organization
Organization Name:JOHN J. CARTHY M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-932-1151
Mailing Address - Street 1:2809 W WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1852
Mailing Address - Country:US
Mailing Address - Phone:813-932-1151
Mailing Address - Fax:813-932-0351
Practice Address - Street 1:2809 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1852
Practice Address - Country:US
Practice Address - Phone:813-932-1151
Practice Address - Fax:813-932-0351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL048964207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty