MEDICARE: MR. JOHN-COLBY CARTER PA-C

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	363AS0400X	Surgical Physician Assistant	PA9108195	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639573512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN-COLBY CARTER PA-C

Provider Business Mailing Address
First Line	:	PO BOX 10744
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33757-8744
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:	727-266-4943

Provider Business Practice Location Address
First Line	:	3003 W DR MARTIN LUTHER KING JR BLVD
Second Line	:	MAB 2ND FLOOR
City	:	TAMPA
State	:	FL
Zip	:	33607-6307
Country	:	US
Telephone Number	:	813-321-6580
Fax Number	:	813-443-8185

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

Provider Enumeration Date	:	10/21/2014
Last Update Date	:	06/07/2026

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Directions to “ MR. JOHN-COLBY CARTER PA-C” Practice Location

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