Healthcare Provider Details

I. General information

NPI: 1851361364
Provider Name (Legal Business Name): GEORGE CARRE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19503 NW 57TH AVE SUITE A
MIAMI FL
33055-4709
US

IV. Provider business mailing address

19503 NW 57TH AVE SUITE A
MIAMI FL
33055-4709
US

V. Phone/Fax

Practice location:
  • Phone: 305-621-8080
  • Fax: 305-624-2671
Mailing address:
  • Phone: 305-621-8080
  • Fax: 305-624-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0062998
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: