CARL L LOVERIDGE PA

INTENSIVE CARE CONSORTIUM INC

Dr CARL L LOVERIDGE PA is a male medical professional, specializing in Physician Assistant. He graduated in 1998.

Contact

INTENSIVE CARE CONSORTIUM INC

11375 CORTEZ BLVD
BROOKSVILLE
FL
346135409

Tel: 5619970821

CARL L LOVERIDGE PA Information

Npi 1881636272
Pac Id 6204867625
Professional Enrollment Id I20070502000415
Last Name LOVERIDGE
First Name CARL
Middle Name L
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 1998
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTENSIVE CARE CONSORTIUM INC
Group Practice Pac Id 0244269413
Number Of Group Practice Members 215
Line 1 Street Address 11375 CORTEZ BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BROOKSVILLE
State FL
Zip Code 346135409
Phone Number 5619970821
Hospital Affiliation Ccn 1 100191
Hospital Affiliation Lbn 1 MEDICAL CENTER OF TRINITY
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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