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NPI Code Detail

MEDICARE: DR. WILLIAM L. CARRIERE M.D.

MEDICARE: DR. WILLIAM L. CARRIERE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME22269FL

General Provider Information

NPI Number : 1154383776
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM L. CARRIERE M.D.
Provider Business Mailing Address
First Line : 6484 FORT CAROLINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2042
Country : US
Telephone Number : 904-744-7300
Fax Number : 904-722-4271
Provider Business Practice Location Address
First Line : 6484 FORT CAROLINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2042
Country : US
Telephone Number : 904-744-7300
Fax Number : 904-722-4271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 05/07/2014

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