Healthcare Provider Details

I. General information

NPI: 1063339067
Provider Name (Legal Business Name): BRAM L. CARVER HAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10690 BEACH BLVD
JACKSONVILLE FL
32246-3655
US

IV. Provider business mailing address

80 SORRELL CT
SAINT JOHNS FL
32259-8722
US

V. Phone/Fax

Practice location:
  • Phone: 904-646-4551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS-5209
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: