Healthcare Provider Details

I. General information

NPI: 1891311759
Provider Name (Legal Business Name): DUSTIN WADE CARTEE APRN FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13355 TAMIAMI TRL UNIT E
NORTH PORT FL
34287-2186
US

IV. Provider business mailing address

13355 TAMIAMI TRL UNIT E
NORTH PORT FL
34287-2186
US

V. Phone/Fax

Practice location:
  • Phone: 941-426-1235
  • Fax: 941-426-4464
Mailing address:
  • Phone: 941-426-1235
  • Fax: 941-426-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11007526
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11007526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: