Healthcare Provider Details

I. General information

NPI: 1336819705
Provider Name (Legal Business Name): MEHMET KARACA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 36TH ST
VERO BEACH FL
32960-4862
US

IV. Provider business mailing address

1835 BRIDGEPOINTE CIR UNIT 18
VERO BEACH FL
32967-6837
US

V. Phone/Fax

Practice location:
  • Phone: 772-271-0445
  • Fax:
Mailing address:
  • Phone: 772-567-6340
  • Fax: 772-567-3564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.113493
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME158717
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: