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NPI Code Detail

MEDICARE: KEWANN CARTER

MEDICARE:   KEWANN  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
1183500000XPharmacistPS66672FL

General Provider Information

NPI Number : 1639997026
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEWANN CARTER
Provider Business Mailing Address
First Line : 2599 SW 147TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-4081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2599 SW 147TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33185-4081
Country : US
Telephone Number : 504-250-7520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2024
Last Update Date : 10/02/2024

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Directions to “ KEWANN CARTER ” Practice Location

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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.