MEDICARE: LILIA M CARTER PT

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	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	8146	FL
2	208100000X	Physical Medicine & Rehabilitation Physician	8146	FL

General Provider Information

NPI Number	:	1306725668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIA M CARTER PT

Provider Business Mailing Address
First Line	:	11350 NW 12TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33323-2402
Country	:	US
Telephone Number	:	754-246-5022
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 S ANDREWS AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1838
Country	:	US
Telephone Number	:	954-524-5587
Fax Number	:

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

Provider Enumeration Date	:	08/30/2025
Last Update Date	:	08/30/2025

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Directions to “ LILIA M CARTER PT” Practice Location

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