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NPI Code Detail

MEDICARE: DR. SANDRA CARTER AP, DOM

MEDICARE:  DR. SANDRA  CARTER  AP, DOM
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
1225700000XMassage Therapist4916NC
2171100000XAcupuncturistAP3388FL

General Provider Information

NPI Number : 1902031362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA CARTER AP, DOM
Provider Business Mailing Address
First Line : 3613 W ROGERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-3639
Country : US
Telephone Number : 813-513-2923
Fax Number :
Provider Business Practice Location Address
First Line : 4230 S MACDILL AVE STE F
Second Line :
City : TAMPA
State : FL
Zip : 33611-1901
Country : US
Telephone Number : 813-513-2923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 07/18/2014

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Directions to “ DR. SANDRA CARTER AP, DOM” Practice Location

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