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NPI Code Detail

MEDICARE: GERALD W CARVER M.D.

MEDICARE: GERALD W CARVER M.D.
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
1146N00000XBasic Emergency Medical TechnicianME40481FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME40481OTHERFLLICENSE

General Provider Information

NPI Number : 1093840043
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD W CARVER M.D.
Provider Business Mailing Address
First Line : 1955 US HIGHWAY 1 S
Second Line : SUITE B-1
City : ST AUGUSTINE
State : FL
Zip : 32086-3708
Country : US
Telephone Number : 904-209-6180
Fax Number : 904-209-6181
Provider Business Practice Location Address
First Line : 1955 US HIGHWAY 1 S
Second Line : SUITE B-1
City : ST AUGUSTINE
State : FL
Zip : 32086-3708
Country : US
Telephone Number : 904-209-6180
Fax Number : 904-209-6181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ GERALD W CARVER M.D.” Practice Location

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