Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cory Robert Carroll, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205330875

Cory Robert Carroll, DO is an Emergency Medicine in Orlando, Florida. Graduated from Rocky Vista University College of Osteopathic Med in 2018, 8 years ago. Practices with Florida Emergency Physicians Kang and Associates MD LLC, a 317-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1222 S Orange Ave Fl 5
Orlando, FL 32806-1215
Phone: (321) 841-1692
Fax: (321) 843-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS18677 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205330875
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 20, 2018
Last updated in NPPESDecember 31, 2022
Certification dateDecember 31, 2022
Mailing address1222 S Orange Ave Fl 5, Orlando, FL 32806-1215

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2018 (8 years in practice)
Group practice Florida Emergency Physicians Kang And Associates Md Llc — 317 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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