MEDICARE: CASIA MARIE ALIECE CARTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1083492482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASIA MARIE ALIECE CARTER

Provider Business Mailing Address
First Line	:	13564 FLETCHER REGENCY DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 CHANNELSIDE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5618
Country	:	US
Telephone Number	:	813-396-9459
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

Similar Medicare Providers

1922966928 — EMILY MARY CURATOLO
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 813-974-8926
Practice Fax:

1457090284 — YOU JEONG PARK
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 631-255-6150
Practice Fax:

1841902665 — MRS. MEGAN CARNICER APRN, FNP-BC
Practice Location Address:

564 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 813-925-1903
Practice Fax:

1861194607 — JACOB R ALBERS
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 970-227-3627
Practice Fax:

1730882325 — PRITHVI SHETTY
Practice Location Address:

560 CHANNELSIDE DR FL 33602
TAMPA, FL
33602-5618

Practice Phone: 813-396-9459
Practice Fax:

1083472351 — JENNA MAREK
Practice Location Address:

560 CHANNELSIDE DR
TAMPA, FL
33602-5618

Practice Phone: 813-396-9459
Practice Fax:

Directions to “ CASIA MARIE ALIECE CARTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.