MEDICARE: MR. ROBERT SCOTT CARTER P.T.

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	225100000X	Physical Therapist	15603	FL

General Provider Information

NPI Number	:	1609885433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT SCOTT CARTER P.T.

Provider Business Mailing Address
First Line	:	4022 N OCEAN BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-6420
Country	:	US
Telephone Number	:	954-567-2617
Fax Number	:	954-567-2619

Provider Business Practice Location Address
First Line	:	4022 N OCEAN BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-6420
Country	:	US
Telephone Number	:	954-567-2617
Fax Number	:	954-567-2619

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. ROBERT SCOTT CARTER P.T.” Practice Location

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