MEDICARE: DR. PAUL D CARTER 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
1	207R00000X	Internal Medicine Physician	LL393	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225037468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL D CARTER M.D.

Provider Business Mailing Address
First Line	:	1900 BROTHER GEENEN WAY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7102
Country	:	US
Telephone Number	:	941-955-3215
Fax Number	:	941-955-8214

Provider Business Practice Location Address
First Line	:	1900 BROTHER GEENEN WAY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7102
Country	:	US
Telephone Number	:	941-955-3215
Fax Number	:	941-955-8214

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	10/22/2008

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