Healthcare Provider Details

I. General information

NPI: 1821087693
Provider Name (Legal Business Name): ARNOLD P CARTER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 AVENTURA BLVD SUITE 303
AVENTURA FL
33180-3108
US

IV. Provider business mailing address

2925 AVENTURA BLVD SUITE 303
AVENTURA FL
33180-3108
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-9595
  • Fax: 305-935-1717
Mailing address:
  • Phone: 305-949-9595
  • Fax: 305-935-1717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME0024997
License Number StateFL

VIII. Authorized Official

Name: DUSTY R LOPEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 305-949-9595